NPI 1568861284

Matthew Rawlins, ATCLAT

Practitioner Athletic Trainer Nampa, ID

Practice location

Address: 131 Constitution Way, Nampa, ID 83686-6018
Phone: (208) 463-5570
Mailing address: 131 Constitution Way, Nampa, ID 83686

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT-522 (ID)

Other Specialist/Technologist providers in Idaho →

Registry record

NPI: 1568861284
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Aug 2014
Record last updated: 19 Aug 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.