IndividualActive
Amy Hawkins, ATC
NPI 1851637433 · Athletic Trainer · Malad City, ID
Provider details
- NPI number
- 1851637433
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 7783119-4810 (UT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2230 N 2400 W
Malad City, ID 83252-6517
Phone: (801) 698-2028
Approximate (ZIP-level) locationGet directions
Mailing address
2230 N 2400 W
Malad City, ID 83252-6517
Registry dates
- Enumerated
- 2012-12-30
- Last updated
- 2012-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.