MEDICARE: CRAIG MORIWAKI A.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer	AT322	ID

General Provider Information

NPI Number	:	1972892628
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRAIG MORIWAKI A.T.

Provider Business Mailing Address
First Line	:	5418 N EAGLE RD
Second Line	:	SUITE 120
City	:	BOISE
State	:	ID
Zip	:	83713-0998
Country	:	US
Telephone Number	:	208-938-3334
Fax Number	:	208-938-3335

Provider Business Practice Location Address
First Line	:	5418 N EAGLE RD
Second Line	:	SUITE 120
City	:	BOISE
State	:	ID
Zip	:	83713-0998
Country	:	US
Telephone Number	:	208-938-3334
Fax Number	:	208-938-3335

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2011
Last Update Date	:	04/04/2011

Similar Medicare Providers

1740130103 — MADISON MAHON
Practice Location Address:

5418 N EAGLE RD
BOISE, ID
83713-0998

Practice Phone: 208-508-7703
Practice Fax:

1063514867 — DR. ERIC GREGORY THOMPSON DPT
Practice Location Address:

5418 N EAGLE RD , STE 140
BOISE, ID
83713-0998

Practice Phone: 208-938-5255
Practice Fax: 208-938-5545

1891888749 — MRS. NICOLE LINN WALKER MPT
Practice Location Address:

5520 NORTH EAGLE ROAD , SUITE 102
BOISE, ID
83713-0998

Practice Phone: 208-938-5255
Practice Fax: 208-938-5545

1225123599 — MR. GALEN EUGENE DANIELSON DPT
Practice Location Address:

5520 N. EAGLE ROAD , SUITE 102
BOISE, ID
83713-0998

Practice Phone: 208-938-5255
Practice Fax: 208-938-5545

1396982567 — OGATA CHIROPRACTIC INC
Practice Location Address:

5418 N EAGLE RD , SUITE 120
BOISE, ID
83713-0998

Practice Phone: 208-938-3334
Practice Fax: 208-938-3335

1912331810 — SYNERGY CHIROPRACTIC, PLLC
Practice Location Address:

5418 N EAGLE RD , STE. 120
BOISE, ID
83713-0998

Practice Phone: 208-939-1500
Practice Fax:

Directions to “ CRAIG MORIWAKI A.T.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.