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

Mrs. Tara Anne Kishpaugh, LAT, ATC

Individual provider Athletic Trainer · NPI 1588704118

Mrs. Tara Anne Kishpaugh, LAT, ATC is an Athletic Trainer in Eagle, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007
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

574 Park Ln
Eagle, ID 83616-4512
Phone: (208) 939-2189
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT-280 (ID)

Record details

NPI number1588704118
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAT , ATC
Sole proprietorNo
NPI enumeratedFebruary 6, 2007
Last updated in NPPESJuly 8, 2007

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