Individual
STEFAN ALVIDREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
958 E DIVISADERO ST, FRESNO, CA 93721-1059
(253) 736-4391
Mailing address
958 E DIVISADERO ST, FRESNO, CA 93721-1059
(253) 736-4391
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
225700000X
Massage Therapist
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1733799
ASSOCIATED BODYWORK AND MASSAGE PROFESSIONALS
—
01
—
2000037733
BOARD OF CERTIFICATION OF ATHLETIC TRAINERS
—
Enumeration date
05/22/2017
Last updated
04/22/2026
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