SearchIdahoAthletic Trainer

Stephane Colle

NPI 1336605138 · on the registry since 2019 · sole proprietor

Practice

Address
1121 W A St Apt 8
Moscow, ID 83843
Phone
(208) 310-2412

Registry record

Primary taxonomy
Athletic Trainer
2255A2300X
Sex
Male
Record last updated
2022-07-21

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