MEDICARE: MR. RAYMOND ARROYO MS, LAT, ATC

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-009099	AZ

General Provider Information

NPI Number	:	1538721980
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RAYMOND ARROYO MS, LAT, ATC

Provider Business Mailing Address
First Line	:	10951 N 91ST AVE LOT 146
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85345-8632
Country	:	US
Telephone Number	:	520-507-1672
Fax Number	:

Provider Business Practice Location Address
First Line	:	10909 N PERRYVILLE RD
Second Line	:
City	:	SURPRISE
State	:	AZ
Zip	:	85388-9713
Country	:	US
Telephone Number	:	480-732-7000
Fax Number	:

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

Provider Enumeration Date	:	07/06/2019
Last Update Date	:	06/15/2026

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