IndividualActive
Andrea Gutierrez, LAT, ATC
NPI 1811557697 · Athletic Trainer · Peoria, AZ
Provider details
- NPI number
- 1811557697
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LAT, ATC
- Sex
- Female
- Sole proprietor
- No
- License
- ATR-001431 (AZ)
Mailing address
20153 W Sherman St
Buckeye, AZ 85326-8168
Registry dates
- Enumerated
- 2019-06-14
- Last updated
- 2020-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.