IndividualActive
Andrew Hamstra, MS. ATC
NPI 1740697283 · Athletic Trainer · Moscow, ID
Provider details
- NPI number
- 1740697283
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS. ATC
- Sex
- Male
- Sole proprietor
- Yes
- License
- AT002243 (GA)
Mailing address
626 Britton Ln
Moscow, ID 83843-8794
Registry dates
- Enumerated
- 2014-07-16
- Last updated
- 2014-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.