IndividualActive
Alec Weaver
NPI 1245735034 · Athletic Trainer · Chubbuck, ID
Provider details
- NPI number
- 1245735034
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Student, Health Care
Practice location
5469 Calen Ln
Chubbuck, ID 83202-5099
Phone: (208) 313-6913
Approximate (ZIP-level) locationGet directions
Mailing address
5469 Calen Ln
Chubbuck, ID 83202-5099
Registry dates
- Enumerated
- 2018-03-26
- Last updated
- 2018-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.