Healthcare Provider Details

I. General information

NPI: 1538721980
Provider Name (Legal Business Name): RAYMOND ARROYO MS, LAT, ATC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2019
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10909 N PERRYVILLE RD
SURPRISE AZ
85388-9713
US

IV. Provider business mailing address

10951 N 91ST AVE LOT 146
PEORIA AZ
85345-8632
US

V. Phone/Fax

Practice location:
  • Phone: 480-732-7000
  • Fax:
Mailing address:
  • Phone: 520-507-1672
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberATR-009099
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: