IndividualActive
Carissa Spencer
NPI 1811769797 · Athletic Trainer · Pocatello, ID
Provider details
- NPI number
- 1811769797
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Student, Health Care
Practice location
1110 E Halliday St
Pocatello, ID 83201-4824
Phone: (208) 860-8987
Approximate (ZIP-level) locationGet directions
Mailing address
1110 E Halliday St
Pocatello, ID 83201-4824
Registry dates
- Enumerated
- 2023-10-24
- Last updated
- 2023-10-24
- Certified
- 2023-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.