Healthcare Provider Details

I. General information

NPI: 1922928852
Provider Name (Legal Business Name): AIM ATHLETIC RECOVERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

422 WOODSON DR
ERIE CO
80516-6876
US

IV. Provider business mailing address

422 WOODSON DR
ERIE CO
80516-6876
US

V. Phone/Fax

Practice location:
  • Phone: 303-710-9339
  • Fax:
Mailing address:
  • Phone: 720-432-9731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State

VIII. Authorized Official

Name: MARISSA HOLLIDAY
Title or Position: C-OWNER
Credential: ATC
Phone: 720-432-9731