IndividualActive
Alexa Haberlack, ATC
NPI 1235649575 · Athletic Trainer · Moscow, ID
Provider details
- NPI number
- 1235649575
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- License
- AT-592 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
346 Rodeo Dr
Moscow, ID 83843-9778
Phone: (425) 422-8302
Approximate (ZIP-level) locationGet directions
Mailing address
15557 168th Ave Se
Monroe, WA 98272-2887
Registry dates
- Enumerated
- 2017-09-30
- Last updated
- 2017-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.