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NPI 1043716285

IndividualActive

Brice Anderson, MSAT, LAT, ATC, CSCS

NPI 1043716285 · Athletic Trainer · Pocatello, ID

Provider details

NPI number: 1043716285
Entity type: Individual
Primary specialty: Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Credential: MSAT, LAT, ATC, CSCS
Sex: Male
Sole proprietor: No
License: AT-657 (ID)

Specialties & taxonomies

Athletic TrainerPrimary2255A2300XLicense AT-657 (ID)
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Practice location

777 Hospital Way

Pocatello, ID 83201-5175

Phone: (208) 242-8650

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

1412 Saratoga St

Pocatello, ID 83201-2253

Additional practice locations (1)

1412 Saratoga St
Pocatello, ID 83201
Phone: (208) 242-8650

Registry dates

Enumerated: 2018-04-05
Last updated: 2024-09-27
Certified: 2024-09-27

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Brice Anderson, MSAT, LAT, ATC, CSCS — NPI 1043716285, Pocatello, ID | NPI Central