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NPI Code Detail

MEDICARE: ANNIKA PONSE

MEDICARE: ANNIKA PONSE
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
12255A2300XAthletic Trainer

General Provider Information

NPI Number : 1902740350
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNIKA PONSE
Provider Business Mailing Address
First Line : 2839 S VAUGHN WAY
Second Line :
City : AURORA
State : CO
Zip : 80014-3476
Country : US
Telephone Number : 720-589-1972
Fax Number :
Provider Business Practice Location Address
First Line : 1100 NORTH AVE
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81501-3122
Country : US
Telephone Number : 970-248-1356
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2026
Last Update Date : 04/16/2026

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Directions to “ ANNIKA PONSE ” Practice Location

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