IndividualActive
Christopher Duke, LAT, ATC
NPI 1780189340 · Athletic Trainer · Blackfoot, ID
Provider details
- NPI number
- 1780189340
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LAT, ATC
- Sex
- Male
- Sole proprietor
- No
- License
- AT-720 (ID)
Mailing address
98 Poplar St
Blackfoot, ID 83221-1758
Registry dates
- Enumerated
- 2018-03-27
- Last updated
- 2022-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.