MR. KEITH J GARDNER A.T.C.
NPI 1336364124
Specialist/Technologist - Athletic Trainer in Roswell, NM

Q: What is Keith Gardner's NPI number?

The NPI number for Keith Gardner is 1336364124. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Q: What is Keith Gardner's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Keith Gardner was last updated on October 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 16, 2007

113 E COLLEGE BLVD, ROSWELL, NM 88201(575) 622-6500(575) 622-9777 Get Directions Write a Review

NPPES record last updated: October 15, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Keith J Gardner A.t.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KEITH J GARDNER A.T.C. (NPI 1336364124) is an individual athletic trainer provider in Roswell, New Mexico, licensed in New Mexico (72) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1336364124

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameMR. KEITH J GARDNERCredential: A.T.C.

Location Address113 E COLLEGE BLVDRoswell, NM 88201-5158

Mailing Address113 E College BlvdRoswell, NM 88201-5158 · (575) 622-6500 · Fax (575) 622-9777

Phone(575) 622-6500

Fax(575) 622-9777

Sole ProprietorNo

Enumeration DateApril 16, 2007

Last NPPES UpdateOctober 15, 2008

✔ NPI 1336364124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in NM · 72

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

113 E COLLEGE BLVD, Roswell, NM 88201

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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SCOTT T LONG ATC,LAT

Specialist/Technologist (Athletic Trainer)