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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. DANIEL PENA, ATC, LPTA

Active

MR. DANIEL PENA, ATC, LPTA is a Athletic Trainer healthcare provider located in KIRTLAND AFB, New Mexico. NPI 1417045444 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · KIRTLAND AFB, NM

Registration Details

NPI Number
1417045444
Provider Type
Individual
Gender
Male
NPI Issued
Oct 11, 2006 (19.802966244839 yrs)
Last Updated
Jan 31, 2018
License
A-287 (NM)

Practice Information

Address
4501 BIGGS AVENUE BLDG 939
KIRTLAND AFB, NM, 871171908
Browse NM providers · Browse ZIP 87117
Phone
5058467377
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in KIRTLAND AFB, NM

Name Credential NPI
MARCO CORDA ATC 1831572130
MR. LOUIS MAYER II MS, LAT, ATC 1205300647
RAFAEL ANTONIO ROJO 1578028395
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.