Individual provider · Type 1 NPI

Aidan Hendricks

Student in an Organized Health Care Education/Training Program · Moscow, ID

NPI number 1538091145 Active

Practice location

875 Perimeter Dr
Moscow, ID 83844-9803

Call (925) 406-9288 Map

Mailing address

6869 N Aldridge Dr
Coeur D Alene, ID 83815-0028

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1538091145

Aidan Hendricks's National Provider Identifier is 1538091145, issued on May 30, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Moscow, ID. The record was last updated on May 30, 2026.