Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RYAN BLAKE PRIDEMORE, LAT, ATC
ActiveRYAN BLAKE PRIDEMORE, LAT, ATC is a Athletic Trainer healthcare provider located in LAS CRUCES, New Mexico. NPI 1033895602 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · LAS CRUCES, NM
Registration Details
- NPI Number
- 1033895602
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 27, 2023 (3.0937947189408 yrs)
- Last Updated
- Jun 10, 2025
- Licenses
-
AT-2024-0006 (NM)AT9424 (TX)
Practice Information
- Address
-
5700 MESA GRANDE DRLAS CRUCES, NM, 880116017Browse NM providers · Browse ZIP 88011
- Phone
- 4233121031
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in LAS CRUCES, NM
| Name | Credential | NPI |
|---|---|---|
| ANDY SCOTT KRENTZ | ATC, LAT | 1083658876 |
| MS. KIM S. O'CONNELL-BROCK | ATC | 1437262185 |
| JAMES LE ROY SCHAPEKAHM | A.T.C., LAT | 1730222506 |
| MICHAEL J O'LAREY | ATC | 1013050012 |
| MR. DARYL C WOOTEN | A.T.C. | 1316072317 |
| KIMBERLY HERBERT | M.S., ATC | 1780860049 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.