IndividualActive
Ashley Medeiros, ATC
NPI 1083220065 · Athletic Trainer · Phoenix, AZ
Provider details
- NPI number
- 1083220065
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- License
- ATTL000210 (AZ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2926 E. Encanto Blvd.
Phoenix, AZ 85009
Phone: (602) 554-3140
Fax: (602) 269-6997
Approximate (ZIP-level) locationGet directions
Mailing address
2926 E. Encanto Blvd.
Phoenix, AZ 85009
Registry dates
- Enumerated
- 2020-09-16
- Last updated
- 2020-09-16
- Certified
- 2020-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.