SearchIdaho2255A2300X

Bailey Evenson, ATC

NPI 1578278545 · on the registry since 2023 · sole proprietor

Practice

Address
2932 N Eagle Rd
Meridian, ID 83646
Phone
(208) 996-1400
Clinicians at this address
2

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
2023-01-13

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