NPI 1457696783

Laurel Evans, ATC

Practitioner Athletic Trainer Nampa, ID

Practice location

Address: 850 W. St. Luke's Dr. Suite 215, Nampa, ID 83687
Phone: (208) 706-9025
Fax: (208) 489-4300
Mailing address: 9850 W. St. Luke's Dr. Suite 215, Nampa, ID 83687

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT-610 (ID)

Other Specialist/Technologist providers in Idaho →

Registry record

NPI: 1457696783
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Nov 2012
Record last updated: 25 Sep 2018

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.