PROF. RICKY LEWIS, ATC-R

Specialist/Technologist - Athletic Trainer

Active Individual
NPI: 1225165939

Practice Address

727 NEZ PERCE DR
Moscow, ID 83843

Phone: (208) 882-4368

Specialties

Specialty Code Primary License
Specialist/Technologist - Athletic Trainer 2255A2300X Yes AT-157 (ID)

Frequently Asked Questions

NPI 1225165939 is the National Provider Identifier for PROF. RICKY LEWIS, ATC-R, a Specialist/Technologist - Athletic Trainer provider located in Moscow, ID. This NPI was enumerated on February 28, 2007.
PROF. RICKY LEWIS, ATC-R practices at 727 NEZ PERCE DR, Moscow, ID 83843.

Quick Facts

NPI
1225165939
Type
Individual
Enumerated
Feb 28, 2007
Last Updated
Jul 8, 2007

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