Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Olivia Mikaelian

Individual provider Athletic Trainer · NPI 1902670516

Olivia Mikaelian is an Athletic Trainer in Pueblo, Colorado. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

2200 Bonforte Blvd
Pueblo, CO 81001-4901
Phone: (719) 549-2530
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1902670516
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 14, 2023
Last updated in NPPESNovember 14, 2023
Certification dateNovember 14, 2023
Mailing address2200 Bonforte Blvd, Pueblo, CO 81001-4901

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