IndividualActive
Audrey Marquez, AT, LAT
NPI 1780113662 · Athletic Trainer · Phoenix, AZ
Provider details
- NPI number
- 1780113662
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- AT, LAT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1288 (AZ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
14400 N Tatum Blvd
Phoenix, AZ 85032-5531
Phone: (602) 332-2130
Approximate (ZIP-level) locationGet directions
Mailing address
12057 W Rowel Rd
Peoria, AZ 85383-5866
Registry dates
- Enumerated
- 2017-06-05
- Last updated
- 2017-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.