Individual
JAROD ALCARAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
4842 HERNDON CIR, COLORADO SPRINGS, CO 80920-7047
(719) 330-0646
Mailing address
2448 VILLAGE ST, TWIN FALLS, ID 83301-4698
(719) 330-0646
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/07/2018
Last updated
02/24/2021
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