NPI 1043716285

Brice Anderson, MSATLATATCCSCS

Practitioner Athletic Trainer Pocatello, ID

Practice location

Address: 777 Hospital Way, Pocatello, ID 83201-5175
Phone: (208) 242-8650
Mailing address: 1412 Saratoga St, Pocatello, ID 83201-2253

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT-657 (ID)

Other Specialist/Technologist providers in Idaho →

Registry record

NPI: 1043716285
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Apr 2018
Record last updated: 27 Sep 2024

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.