Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL HERNANDEZ
Active Sole ProprietorMICHAEL HERNANDEZ is a Athletic Trainer healthcare provider located in SHELLEY, Idaho. NPI 1417666918 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · SHELLEY, ID
Registration Details
- NPI Number
- 1417666918
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 23, 2022 (3.7543366417093 yrs)
- Last Updated
- Nov 23, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
121 S BYRON AVESHELLEY, ID, 832741209Browse ID providers · Browse ZIP 83274
- Phone
- 2088813072
- Primary Specialty
-
Athletic Trainer
2255A2300X
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.