Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexa Haberlack, ATC

Individual provider Athletic Trainer · NPI 1235649575

Alexa Haberlack, ATC is an Athletic Trainer in Moscow, Idaho. Licensed in Idaho. Registered with an NPI since 2017.

Licensed in
ID
In the registry since
2017
Specialties on file
2
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

346 Rodeo Dr
Moscow, ID 83843-9778
Phone: (425) 422-8302
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X
Athletic Trainer Taxonomy 2255A2300X · Licence AT-592 (ID)

Record details

NPI number1235649575
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorNo
NPI enumeratedSeptember 30, 2017
Last updated in NPPESSeptember 30, 2017

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