OrganizationActive
At Direct Sports Medicine, LLC
NPI 1720507262 · Sports Medicine (Preventive Medicine) Physician · Mesa, AZ
Provider details
- NPI number
- 1720507262
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Casey Erickson, Owner/Athletic Trainer
- License
- 1318 (AZ)
Mailing address
6424 E Fairfield St
Mesa, AZ 85205-6042
Registry dates
- Enumerated
- 2017-09-15
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.