IndividualActive
Adia Davis, ATC
NPI 1790449254 · Athletic Trainer · Boise, ID
Provider details
- NPI number
- 1790449254
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
918 N Haines St
Boise, ID 83712-7437
Phone: (208) 781-0973
Approximate (ZIP-level) locationGet directions
Mailing address
918 N Haines St
Boise, ID 83712-7437
Registry dates
- Enumerated
- 2021-10-29
- Last updated
- 2023-06-03
- Certified
- 2023-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.