Individual provider · Type 1 NPI

Ryan Blake Pridemore, LAT, ATC

Athletic Trainer · Las Cruces, NM

NPI number 1033895602 Active

Practice location

5700 Mesa Grande Dr
Las Cruces, NM 88011-6017

Call (423) 312-1031 Map

Mailing address

3402 Bixler Dr Apt 2202
Las Cruces, NM 88012-5114

Specialties and licenses

Taxonomy	Code	License
Athletic Trainer Primary	2255A2300X	AT-2024-0006 (NM)
Athletic Trainer	2255A2300X	AT9424 (TX)

Athletic Trainer: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanc…

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About NPI 1033895602

Ryan Blake Pridemore, LAT, ATC's National Provider Identifier is 1033895602, issued on Jun 27, 2023. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Las Cruces, NM. The record was last updated on Jun 10, 2025.