NPI 1114462405
Tyler K Murray
Practice location
- Address
- 1910 University Dr, Boise, ID 83725-0001
- Phone
- (208) 871-1082
- Mailing address
- 5008 W Charles St, Meridian, ID 83646-5382
Registered specialties (2)
Student in an Organized Health Care Education/Training Program
Primary
Athletic Trainer
Registry record
- NPI
- 1114462405
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 22 Dec 2016
- Record last updated
- 22 Dec 2016
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.