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

Ryan Blake Pridemore, LAT, ATC

Individual provider Athletic Trainer · NPI 1033895602

Ryan Blake Pridemore, LAT, ATC is an Athletic Trainer in Las Cruces, New Mexico. Licensed in New Mexico and Texas. Registered with an NPI since 2023.

Licensed in
NM, TX
In the registry since
2023
Specialties on file
2
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

5700 Mesa Grande Dr
Las Cruces, NM 88011-6017
Phone: (423) 312-1031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT-2024-0006 (NM)
Athletic Trainer Taxonomy 2255A2300X · Licence AT9424 (TX)

Record details

NPI number1033895602
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , ATC
Sole proprietorNo
NPI enumeratedJune 27, 2023
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025
Mailing address3402 Bixler Dr Apt 2202, Las Cruces, NM 88012-5114

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