Dalton Tanner Pitts
Dalton Tanner Pitts is an Athletic Trainer in Moscow, Idaho. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
1433 W A StMoscow, ID 83843-3274
Phone: (626) 862-0430
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|
Record details
| NPI number | 1013531680 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 29, 2020 |
| Last updated in NPPES | May 29, 2020 |
| Certification date | May 29, 2020 |
| Mailing address | 860 N Reeder Ave, Covina, CA 91724-2644 |
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