SearchIdahoAthletic Trainer

Houston Pepper

NPI 1912499229 · on the registry since 2018 · sole proprietor

Practice

Address
875 Perimeter Dr # Ms 2401
Moscow, ID 83844
Phone
(562) 889-6896
Clinicians at this address
23

Registry record

Primary taxonomy
Athletic Trainer
2255A2300X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-06-01

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