IndividualActive
Alexandra Farley, ATC
NPI 1790051092 · Athletic Trainer · Boise, ID
Provider details
- NPI number
- 1790051092
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1416 N Raymond St Apt 101
Boise, ID 83704-0694
Phone: (509) 994-9699
Approximate (ZIP-level) locationGet directions
Mailing address
1416 N Raymond St Apt 101
Boise, ID 83704-0694
Registry dates
- Enumerated
- 2012-03-30
- Last updated
- 2012-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.