SearchIdaho2255A2300X

Nathan Burnett, ATC

NPI 1225492804 · on the registry since 2016 · sole proprietor

Practice

Address
136 N 100 W
Preston, ID 83263
Phone
(208) 851-0777

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-04-08

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