IndividualActive
Daniel Paz-Rudolph, ATC, LAT, CKTT
NPI 1871983015 · Athletic Trainer · Albuquerque, NM
Provider details
- NPI number
- 1871983015
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC, LAT, CKTT
- Sex
- Male
- Sole proprietor
- No
- License
- 608 (NM)
Mailing address
2704 Los Anayas Rd Nw
Albuquerque, NM 87104-2934
Registry dates
- Enumerated
- 2015-01-26
- Last updated
- 2015-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.