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Revae Rivera, ATC, LAT
NPI 1669846549 · on the registry since 2015
Practice
- Address
- 805 E Crockett St
Crystal City, TX 78839 - Phone
- (830) 374-2341
- Fax
- (830) 374-8012
- Organisation at this address
- Crystal City Isd
Crystal City Independent School DistritctInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-01-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas