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ANDREW HENRICHS PA-C, ATC

Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1922037381

Individual Registrant:
 ANDREW  HENRICHS PA-C, ATC
Gender: M
Not Sole Proprietor

Location and contact information for practice:
978 EUCLID AVE  CARBONDALE, CO 81623-1839 US
Tel: 970-963-3350  Fax: --

Contact information for business:
978 EUCLID AVE  CARBONDALE, CO 81623-1839 US
Tel: 970-963-3350  Fax: --

Registration Information:
NPI: 1922037381
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
Athletic Trainer
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
COPA.0003989

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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