IndividualActive
Craig Moriwaki, A.T.
NPI 1972892628 · Athletic Trainer · Boise, ID
Provider details
- NPI number
- 1972892628
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- A.T.
- Sex
- Male
- Sole proprietor
- Yes
- License
- AT322 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
5418 N Eagle Rd
Suite 120
Boise, ID 83713-0998
Phone: (208) 938-3334
Fax: (208) 938-3335
Approximate (ZIP-level) locationGet directions
Mailing address
5418 N Eagle Rd
Boise, ID 83713-0998
Registry dates
- Enumerated
- 2011-04-04
- Last updated
- 2011-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.