NPI 1407308240

Nathan Sturlin, LATATC

Practitioner Athletic Trainer Meridian, ID

Practice location

Address: 520 S Eagle Rd Sports Medicine, Meridian, ID 83642-6351
Phone: (208) 867-5630
Mailing address: 5393 W Rosslare Dr, Eagle, ID 83616-6252

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT-577 (ID)

Other Specialist/Technologist providers in Idaho →

Registry record

NPI: 1407308240
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Oct 2016
Record last updated: 27 Oct 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.