IndividualActive
Brandon Payne, ATC
NPI 1356864524 · Athletic Trainer · Pocatello, ID
Provider details
- NPI number
- 1356864524
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
Practice location
921 S 8th Ave Stop 8173
Pocatello, ID 83209-0002
Phone: (989) 621-2374
Mailing address
921 S 8th Ave Stop 8173
Pocatello, ID 83209-0002
Registry dates
- Enumerated
- 2017-07-19
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.