IndividualActive
Alan Nasypany
NPI 1013799774 · Athletic Trainer · Moscow, ID
Provider details
- NPI number
- 1013799774
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- AT307 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
875 Perimeter Dr Dept of
Moscow, ID 83844-9803
Phone: (208) 885-2185
Approximate (ZIP-level) locationGet directions
Mailing address
1215 Tamarack Dr
Moscow, ID 83843-9438
Registry dates
- Enumerated
- 2023-10-17
- Last updated
- 2023-10-17
- Certified
- 2023-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.