David Lynn Andersen, RPT, LAT, ATC - in Idaho Falls, ID

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David Lynn Andersen, RPT, LAT, ATC is a Specialist/technologist - Athletic Trainer based in Idaho Falls, Idaho. David Lynn Andersen is licensed to practice in Idaho (license number AT-004) and his current practice location is 363 Tyra Dr, Idaho Falls, Idaho. He can be reached at his office (for appointments etc.) via phone at (208) 681-2525.

NPI number for David Lynn Andersen is 1265657001 and his current mailing address is 363 Tyra Dr, Idaho Falls, Idaho. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1265657001.

Contact Information

David Lynn Andersen, RPT, LAT, ATC
363 Tyra Dr,
Idaho Falls, ID 83401-4437
(208) 681-2525
Not Available

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Healthcare Provider's Profile

Full NameDavid Lynn Andersen
GenderMale
SpecialitySpecialist/technologist - Athletic Trainer
Location363 Tyra Dr, Idaho Falls, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1265657001
  • Provider Enumeration Date: 04/16/2007
  • Last Update Date: 07/09/2007

Medical Identifiers

Medical identifiers for David Lynn Andersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265657001NPI-NPPES
0043961MedicaidID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT-322 (Idaho)Primary
2255A2300XSpecialist/technologist - Athletic Trainer AT-004 (Idaho)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David Lynn Andersen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
David Lynn Andersen, RPT, LAT, ATC
363 Tyra Dr,
Idaho Falls, ID 83401-4437

Ph: (208) 681-2525		David Lynn Andersen, RPT, LAT, ATC
363 Tyra Dr,
Idaho Falls, ID 83401-4437

Ph: (208) 681-2525

Reviews and Comments



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