Search › Idaho › 2255A2300X
Carly Wilson, MS, LAT, ATC
NPI 1205326642 · on the registry since 2018
Practice
- Address
- 1109 W Myrtle St Ste 200
Boise, ID 83702 - Phone
- (208) 489-4300
- Organisation at this address
- Boise Dialysis Partners Ii, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 18
Additional practice sites
- Blatt Pe Center - Exercise Science 1300 Wheat Street, Columbia, SC
- 2000 Observatory Dr, Madison, WI
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 390200000X
- Sex
- Female
- Record last updated
- 2021-09-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho