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

Roger Davies, ATC

Individual provider Athletic Trainer · NPI 1770612129

Roger Davies, ATC is an Athletic Trainer in Idaho Falls, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2007
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

690 John Adams Pkwy
Idaho Falls, ID 83401-4073
Phone: (208) 604-0215
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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-296 (ID)

Record details

NPI number1770612129
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedMarch 3, 2007
Last updated in NPPESJuly 8, 2007
Mailing address2450 Virlow St Apt 4, Idaho Falls, ID 83401-3314

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