IndividualActive
Alicia Davis
NPI 1952049264 · Athletic Trainer · Moscow, ID
Provider details
- NPI number
- 1952049264
- 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
Practice location
875 Perimeter Dr
Moscow, ID 83844-9803
Phone: (208) 885-6111
Approximate (ZIP-level) locationGet directions
Mailing address
1545 Ne Merman Dr Apt 28a
Pullman, WA 99163-5713
Registry dates
- Enumerated
- 2022-05-25
- Last updated
- 2022-05-25
- Certified
- 2022-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.