IndividualActive
Adam Raikes, ATC
NPI 1285961565 · Athletic Trainer · Logan, UT
Provider details
- NPI number
- 1285961565
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- License
- 7415969-4810 (UT)
Practice location
7000 Old Main Hl
Logan, UT 84322-7000
Phone: (520) 271-9538
Fax: (520) 271-9538
Mailing address
7000 Old Main Hl
Logan, UT 84322-7000
Registry dates
- Enumerated
- 2009-11-07
- Last updated
- 2015-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.