Whalio Doctors

NPI 1114462405

Tyler K Murray

Practitioner Student in an Organized Health Care Education/Training Program Boise, ID

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
Student, Health Care Taxonomy 390200000X
Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

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.