Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY VANORDEN, CPT
ActiveAthletic Trainer · POCATELLO, ID
Registration Details
- NPI Number
- 1356742613
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 5, 2014 (11.627616703636 yrs)
- Last Updated
- Sep 5, 2014
- Licenses
-
PTA-368 (ID)T178488 (ID)
Practice Information
- Address
-
1246 YELLOWSTONE AVE STE F2POCATELLO, ID, 832014372Browse ID providers · Browse ZIP 83201
- Phone
- 2089041270
- Fax
- 2089041270
- Primary Specialty
-
Athletic Trainer
225500000X
- Additional Specialty
- Athletic Trainer
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.