MEDICARE: MR. GARY FRANCIS MINNELLA LAT, CSCS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer	ATR-001096	AZ

General Provider Information

NPI Number	:	1407820079
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. GARY FRANCIS MINNELLA LAT, CSCS

Provider Business Mailing Address
First Line	:	9008 E PINE VALLEY DR
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85710-7954
Country	:	US
Telephone Number	:	810-841-7533
Fax Number	:

Provider Business Practice Location Address
First Line	:	9008 E PINE VALLEY DR
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85710-7954
Country	:	US
Telephone Number	:	810-841-7533
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2006
Last Update Date	:	05/02/2026

Similar Medicare Providers

1366379125 — ISABELLA AGUIAR
Practice Location Address:

7901 E 22ND ST
TUCSON, AZ
85710-8509

Practice Phone: 520-694-8888
Practice Fax: 520-694-8466

1396748406 — DR. DENIS M CARROLL M.D.
Practice Location Address:

6561 E CARONDELET DR
TUCSON, AZ
85710-2156

Practice Phone: 520-886-2597
Practice Fax: 520-886-6639

1518960632 — DR. CAMERON G JAVID M.D.
Practice Location Address:

6561 E CARONDELET DR
TUCSON, AZ
85710-2156

Practice Phone: 520-886-2597
Practice Fax: 520-886-6639

1316940422 — DR. APRIL HARRIS M.D.
Practice Location Address:

6561 E CARONDELET DR
TUCSON, AZ
85710-2156

Practice Phone: 520-886-2597
Practice Fax: 520-886-6639

1316940067 — JAMES ROY HERDE M.D.
Practice Location Address:

6506 E CARONDELET DR
TUCSON, AZ
85710-2117

Practice Phone: 520-885-6717
Practice Fax: 520-722-9702

1881697639 — DR. BARBARA JAMILA AUNG DPM
Practice Location Address:

6644 E CARONDELET DR
TUCSON, AZ
85710-2119

Practice Phone: 520-886-9866
Practice Fax:

Directions to “ MR. GARY FRANCIS MINNELLA LAT, CSCS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.