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

Ashlie Lynn Randall

Individual provider Athletic Trainer · NPI 1619441540

Ashlie Lynn Randall is an Athletic Trainer in Moscow, Idaho. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
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Practice location Address checks out

875 Perimeter Dr
Moscow, ID 83844-9803
Phone: (208) 885-6111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 640 Se Ball Blvd, Waldport, OR 97394 — (208) 318-8397

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1619441540
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 14, 2019
Last updated in NPPESJanuary 14, 2019
Mailing addressPo Box 1857, Waldport, OR 97394-1857

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