Michael Hernandez
Athletic Trainer · Shelley, ID
NPI number
1417666918
Practice location
121 S Byron AveShelley, ID 83274-1209
- Phone
- (208) 881-3072
NPI record
- NPI
- 1417666918
- Entity type
- Individual (Type 1)
- Enumeration date
- November 23, 2022
- Last updated
- November 23, 2022
- Certified
- November 23, 2022
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Athletic Trainer Primary | 2255A2300X |
— | — |
About Michael Hernandez
Michael Hernandez is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 121 S Byron Ave, Shelley, ID 83274-1209. The NPI number 1417666918 was assigned on November 23, 2022 and the record was last updated on November 23, 2022.
Frequently asked questions
What is the NPI number of Michael Hernandez?
The NPI number is 1417666918.
What is the phone number of Michael Hernandez?
The phone number listed for the practice location is (208) 881-3072.
Where is Michael Hernandez located?
121 S Byron Ave, Shelley, ID 83274-1209.
What is the taxonomy code for Michael Hernandez?
The primary taxonomy code is 2255A2300X – Athletic Trainer.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.