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

Yi Fan

Individual provider Athletic Trainer · NPI 1114591898

Yi Fan is an Athletic Trainer in Moscow, Idaho. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

875 Perimeter Dr
Moscow, ID 83844-9803
Phone: (208) 885-6111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 422 E 8th St Apt 2, Moscow, ID 83843-5200 — (208) 874-9320

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1114591898
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 17, 2021
Last updated in NPPESMay 17, 2021
Certification dateMay 17, 2021
Mailing address422 E 8th St Apt 2, Moscow, ID 83843-5200

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