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Tevagene Bragg
NPI 1255960688 · on the registry since 2020
Practice
- Address
- 203 S Daisy St
Salmon, ID 83467 - Phone
- (208) 756-5600
- Organisation at this address
- River Of No Return Anesthesia
Steele Memorial Medical Center
Steele Memorial Medical Center
St Patrick Hosp And Health Sci CtrInferred from a shared address, not stated in the registry. - Clinicians at this address
- 18
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-04-07
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