NPI 1093132458

Haiden L Siepert, ATCLAT

Practitioner Athletic Trainer Pocatello, ID

Practice location

Address: 1151 Hospital Way, Pocatello, ID 83201-5091
Phone: (801) 564-2174

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT-493 (ID)

Other Specialist/Technologist providers in Idaho →

Registry record

NPI: 1093132458
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Mar 2014
Record last updated: 24 Mar 2014

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.