Individual
JOSHUA MATHIAS VORTHERMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1815 WELLS ST, LAS CRUCES, NM 88003-1304
(575) 646-6064
Mailing address
3402 BIXLER DR APT 1707, LAS CRUCES, NM 88012-5113
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT876
NM
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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