IndividualActive
Russ Mcaffee, A.T.C.
NPI 1669490298 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Pocatello, ID
Provider details
- NPI number
- 1669490298
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- A.T.C.
- Sex
- Male
- Sole proprietor
- No
- License
- AT-187 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
275 S. 5th Ave.
Ste. 140
Pocatello, ID 83201
Phone: (208) 232-4267
Approximate (ZIP-level) locationGet directions
Mailing address
31 Harvard St
Pocatello, ID 83201-3419
Registry dates
- Enumerated
- 2006-07-18
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.