IndividualActive
Avery Carlson, ATC, LAT
NPI 1669862884 · Athletic Trainer · Nampa, ID
Provider details
- NPI number
- 1669862884
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC, LAT
- Sex
- Female
- Sole proprietor
- No
- License
- AT-531 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
36 5th St N
Nampa, ID 83687-3482
Phone: (605) 880-8886
Approximate (ZIP-level) locationGet directions
Mailing address
36 5th St N
Nampa, ID 83687-3482
Registry dates
- Enumerated
- 2015-01-26
- Last updated
- 2015-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.