Ivan Jimenez

Athletic Trainer · Pueblo, CO

Individual Active NPI

NPI number 1013671874

Practice location

1817 Yakima Ln
Pueblo, CO 81001-1513
Phone
(719) 243-6300

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NPI record

NPI
1013671874
Entity type
Individual (Type 1)
Enumeration date
October 27, 2021
Last updated
October 27, 2021
Certified
October 27, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X — CO

About Ivan Jimenez

Ivan Jimenez is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 1817 Yakima Ln, Pueblo, CO 81001-1513. The NPI number 1013671874 was assigned on October 27, 2021 and the record was last updated on October 27, 2021.

Frequently asked questions

What is the NPI number of Ivan Jimenez?

The NPI number is 1013671874.

What is the phone number of Ivan Jimenez?

The phone number listed for the practice location is (719) 243-6300.

Where is Ivan Jimenez located?

1817 Yakima Ln, Pueblo, CO 81001-1513.

What is the taxonomy code for Ivan Jimenez?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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