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Search › Idaho › 2255A2300X

Jefferson Wetherington, MS, LAT, ATC

NPI 1992030803 · on the registry since 2009 · sole proprietor

Practice

Address
600 N Robbins Rd Ste 200
Boise, ID 83702
Phone
(616) 447-9996
Organisation at this address
Intermountain Surgery Center
Intermountain Orthopaedic Pllc
St Lukes Regional Medical Center
St Lukes Regional Medical Center
Intermountain Orthopaedics Specialists
Inferred from a shared address, not stated in the registry.
Clinicians at this address
141

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Also registered as
2255A2300X
2255A2300X
2255A2300X
246Z00000X
Licence states on file
MI, FL, OR, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-03-19

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