Individual
CHELSEY BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
9126 W CAMELBACK RD, GLENDALE, AZ 85305-3116
(602) 703-3194
Mailing address
17374 N 89TH AVE APT 1326, PEORIA, AZ 85382-8139
(602) 703-3194
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
1426
AZ
2255A2300X
Athletic Trainer
Primary
2000022761
AZ
Other
Enumeration date
11/06/2016
Last updated
11/06/2016
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