NPI 1013799774

Alan Mark Nasypany

Practitioner Athletic Trainer Moscow, ID

Practice location

Address: 875 Perimeter Dr Dept of, Moscow, ID 83844-9803
Phone: (208) 885-2185
Mailing address: 1215 Tamarack Dr, Moscow, ID 83843-9438

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT307 (ID)

Other Specialist/Technologist providers in Idaho →

Registry record

NPI: 1013799774
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Oct 2023
Record last updated: 17 Oct 2023

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.