NPI 1669862884

Avery Brianne Carlson, ATCLAT

Practitioner Athletic Trainer Nampa, ID

Practice location

Address: 36 5th St N, Nampa, ID 83687-3482
Phone: (605) 880-8886

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT-531 (ID)

Other Specialist/Technologist providers in Idaho →

Registry record

NPI: 1669862884
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jan 2015
Record last updated: 26 Jan 2015

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.