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

Tom Eiji Koto Jr., ATC

Individual provider Athletic Trainer · NPI 1538444211

Tom Eiji Koto Jr., ATC is an Athletic Trainer in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2011.

Licensed in
ID
In the registry since
2011
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

600 N Robbins Rd Ste 100
Boise, ID 83702-4565
Phone: (208) 489-4296
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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-001 (ID)

Record details

NPI number1538444211
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedOctober 13, 2011
Last updated in NPPESOctober 13, 2011

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