IndividualActive
Daniel Pena, ATC, LPTA
NPI 1417045444 · Athletic Trainer · Kirtland Afb, NM
Provider details
- NPI number
- 1417045444
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC, LPTA
- Sex
- Male
- Sole proprietor
- No
- License
- A-287 (NM)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4501 Biggs Avenue Bldg 939
Kirtland Afb, NM 87117-1908
Phone: (505) 846-7377
Approximate (ZIP-level) locationGet directions
Mailing address
7413 Luella Anne Dr Ne
Albuquerque, NM 87109-3935
Registry dates
- Enumerated
- 2006-10-11
- Last updated
- 2018-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.