MITCHELL MCTIER


Address: 1106 S Blake Ave, Moscow, ID 83843-4117
Phone: 2088856111

MITCHELL MCTIER (NPI# 1588192793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588192793
Entity Type Individual
Full Name MITCHELL MCTIER
Practice Address 1106 S Blake Ave
Moscow
ID 83843-4117
Mailing Address 113 Lake Shore Dr
Newnan
GA 30265-5591
Practice Telephone 2088856111
Mailing Telephone 7703373607
Mailing Fax Number 7703373607
Enumeration Date 2017-06-01
Last Update Date 2017-06-01
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA UNITED HEALTHCARE 878507380 01

Office Location

Street Address 1106 S BLAKE AVE
City MOSCOW
State ID
Zip Code 83843-4117

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679001887 Kayla Acord Specialist/Technologist 1106 S Blake Ave, Moscow, ID 83843-4117 2017-06-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033726880 Moscow Physical Therapy, LLC Clinic/Center 1174 Alturas Drive, Suite 2, Moscow, ID 83843 2020-09-25
1831703057 Hydee Flishaw Tubbs Becker Dietitian, Registered 614 North Hayes Street, Moscow, ID 83843 2020-09-04
1528626959 Ryan Steven Clark Student in an Organized Health Care Education/Training Program 212 Farm Road, #201, Moscow, ID 83843 2019-05-31
1770141384 Lingwen Zhang Specialist/Technologist 901 Paradise Creek Rd, Moscow, ID 83843 2019-05-30
1306363478 Elizabeth Campbell Dietitian, Registered 611 S. Main, Moscow, ID 83843 2017-08-29
1598285496 Gina Cretser Counselor 212 Rodeo Dr. #410, Moscow, ID 83843 2017-06-21
1124558721 Morgan Leigh Derloshon Specialist/Technologist 275 Southview Ave, Apt 206, Moscow, ID 83843 2017-06-15
1619411790 Kaylene Howard Massage Therapist 127 South Washington, Suite 6, Moscow, ID 83843 2016-12-08
1407237043 Jacob Kent Christensen Family Medicine 831 S Ash St, Moscow, ID 83843 2015-06-09
1366851388 Elisabeth Henry Pharmacist 2740 West Pullman Rd, Moscow, ID 83843 2014-08-04
Find all providers in zip 83843

Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063030237 Brandon Garfield Specialist/Technologist 3287 W Twin Rd, Moscow, ID 83843-8130 2020-07-14
1811515067 Lexis Fouts Specialist/Technologist 617 W Taylor Ave # A, Moscow, ID 83843-2411 2020-07-13
1063039204 Jadelyn Taylor Eisele Specialist/Technologist 707 Railroad St Apt 4, Moscow, ID 83843-2381 2020-07-04
1366069593 Tyler Hempfling Volkmann Specialist/Technologist 924 Indian Hills Dr, Moscow, ID 83843-5096 2020-07-03
1013531680 Dalton Tanner Pitts Specialist/Technologist 1433 W A St, Moscow, ID 83843-3274 2020-05-29
1720618960 Samantha Layne Hanna Specialist/Technologist 875 Perimeter Drive College of Education 123, Moscow, ID 83844-0001 2020-01-15
1063070670 Alli Schomburg Specialist/Technologist 1012 S Main St, Moscow, ID 83843-4251 2019-05-30
1770141384 Lingwen Zhang Specialist/Technologist 901 Paradise Creek Rd, Moscow, ID 83843 2019-05-30
1336605138 Stephane Colle Specialist/Technologist 1121 W A St Apt 8, Moscow, ID 83843-4610 2019-02-17
1306312376 Anastasia Stigall Specialist/Technologist 711 S Rayburn St, Moscow, ID 83844-3228 2018-10-17
Find all providers in MOSCOW

Competitor

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City MOSCOW
Zip Code 83843

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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