IndividualActive
Cheree Iadevaia, MS, LAT, ATC
NPI 1730440371 · Athletic Trainer · Idaho Falls, ID
Provider details
- NPI number
- 1730440371
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, LAT, ATC
- Sex
- Female
- Sole proprietor
- No
- License
- AT-529 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2375 E Sunnyside Rd
Suite F
Idaho Falls, ID 83404-8280
Phone: (208) 535-3626
Approximate (ZIP-level) locationGet directions
Mailing address
2375 E Sunnyside Rd
Idaho Falls, ID 83404-8280
Registry dates
- Enumerated
- 2012-05-30
- Last updated
- 2017-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.