IndividualActive
Carissa Kane, LAT, ATC
NPI 1164849600 · Athletic Trainer · Boise, ID
Provider details
- NPI number
- 1164849600
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LAT, ATC
- Sex
- Female
- Sole proprietor
- No
- License
- AT-289 (ID)
Mailing address
1010 W Washington St
Boise, ID 83702-5446
Registry dates
- Enumerated
- 2014-03-22
- Last updated
- 2014-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.