NPI 1013531680

Dalton Tanner Pitts

Practitioner Athletic Trainer Moscow, ID

Practice location

Address: 1433 W a St, Moscow, ID 83843-3274
Phone: (626) 862-0430
Mailing address: 860 N Reeder Ave, Covina, CA 91724-2644

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in Idaho →

Registry record

NPI: 1013531680
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 May 2020
Record last updated: 29 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.