NPI 1053050732

Hunter Augustus Connolley

Practitioner Athletic Trainer Moscow, ID

Practice location

Address: 875 Perimeter Dr, Moscow, ID 83844-9803
Phone: (208) 885-6111
Mailing address: 1208 Tamarack Drive, Moscow, ID 83843

Registered specialties

Athletic Trainer Primary

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

Other Specialist/Technologist providers in Idaho →

Registry record

NPI: 1053050732
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jun 2022
Record last updated: 1 Jun 2022

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.