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

Brice Anderson, MSAT, LAT, ATC, CSCS

Individual provider Athletic Trainer · NPI 1043716285

Brice Anderson, MSAT, LAT, ATC, CSCS is an Athletic Trainer in Pocatello, Idaho. Works from 2 locations. Licensed in Idaho.

Licensed in
ID
In the registry since
2018
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

777 Hospital Way
Pocatello, ID 83201-5175
Phone: (208) 242-8650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1412 Saratoga St, Pocatello, ID 83201 — (208) 242-8650

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT-657 (ID)

Record details

NPI number1043716285
Entity typeIndividual (Type 1)
GenderMale
Credentials MSAT , LAT , ATC , CSCS
Sole proprietorNo
NPI enumeratedApril 5, 2018
Last updated in NPPESSeptember 27, 2024
Certification dateSeptember 27, 2024

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