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Ricky Lewis, ATC-R
NPI 1225165939 · on the registry since 2007 · sole proprietor
Practice
- Address
- 727 Nez Perce Dr
Moscow, ID 83843 - Phone
- (208) 882-4368
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
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