Provider Demographics
NPI:1992269997
Name:SEE, ROBYN E (ATC)
Entity type:Individual
Prefix:MS
First Name:ROBYN
Middle Name:E
Last Name:SEE
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23860 N 81ST DR
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85383-5612
Mailing Address - Country:US
Mailing Address - Phone:785-821-4885
Mailing Address - Fax:
Practice Address - Street 1:15950 N CIVIC CENTER PLZ
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-7464
Practice Address - Country:US
Practice Address - Phone:785-821-4885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-24
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ204C00000X204C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS0000234346OtherBOARD OF CERTIFICATION-CERTIFIED ATHLETIC TRAINER