IndividualActive
Brendon Judd
NPI 1396237616 · Athletic Trainer · Moscow, ID
Provider details
- NPI number
- 1396237616
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
875 Perimeter Dr
Moscow, ID 83844-9803
Phone: (208) 827-2186
Approximate (ZIP-level) locationGet directions
Mailing address
3013 Meadowlark Dr
Lewiston, ID 83501-9668
Registry dates
- Enumerated
- 2018-06-01
- Last updated
- 2018-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.