SearchIdahoAthletic Trainer

Alexandra Long, ATC

NPI 1346765047 · on the registry since 2017

Practice

Address
1010 W Washington St
Boise, ID 83702
Phone
(208) 854-4270
Organisation at this address
Grounded Wellness Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
Athletic Trainer
2255A2300X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-08-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho