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Jace Puckett
NPI 1982196291 · on the registry since 2018 · sole proprietor
Practice
- Address
- 875 Perimeter Dr
Moscow, ID 83844 - Phone
- (775) 351-8297
- Clinicians at this address
- 117
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Sex
- Male
- Record last updated
- 2018-06-01
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