IndividualActive
Camille Rivera, ATC,LAT
NPI 1629436605 · Athletic Trainer · Taos, NM
Provider details
- NPI number
- 1629436605
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC,LAT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 644 (NM)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1398 Weimer Rd
Suite 203
Taos, NM 87571-6397
Phone: (575) 737-0304
Fax: (575) 737-9445
Approximate (ZIP-level) locationGet directions
Mailing address
1398 Weimer Rd
Taos, NM 87571-6397
Registry dates
- Enumerated
- 2016-02-04
- Last updated
- 2016-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.