IndividualActive
Bradley Allison, LAT, ATC
NPI 1285993378 · Athletic Trainer · Boise, ID
Provider details
- NPI number
- 1285993378
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LAT, ATC
- Sex
- Male
- Sole proprietor
- No
- License
- AT-413 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1910 University Dr
Boise, ID 83725-1711
Phone: (208) 426-2305
Approximate (ZIP-level) locationGet directions
Mailing address
1910 University Dr
Boise, ID 83725-1711
Registry dates
- Enumerated
- 2012-05-09
- Last updated
- 2012-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.