IndividualActive
Alexandra Long, ATC
NPI 1346765047 · Athletic Trainer · Boise, ID
Provider details
- NPI number
- 1346765047
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- License
- 2000020432 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1010 W Washington St
Boise, ID 83702-5446
Phone: (208) 854-4270
Approximate (ZIP-level) locationGet directions
Mailing address
628 Winter Pl
Nampa, ID 83686-2988
Registry dates
- Enumerated
- 2017-08-03
- Last updated
- 2017-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.