JACKIE HENRY

Specialist/Technologist - Athletic Trainer

Active Individual
NPI: 1639136351

Practice Address

6749 W EDEN CT
Rathdrum, ID 83858

Phone: (208) 687-2156

Specialties

Specialty Code Primary License
Specialist/Technologist - Athletic Trainer 2255A2300X Yes AT-258 (ID)

Frequently Asked Questions

NPI 1639136351 is the National Provider Identifier for JACKIE HENRY, a Specialist/Technologist - Athletic Trainer provider located in Rathdrum, ID. This NPI was enumerated on April 27, 2006.
JACKIE HENRY practices at 6749 W EDEN CT, Rathdrum, ID 83858.

Quick Facts

NPI
1639136351
Type
Individual
Enumerated
Apr 27, 2006
Last Updated
Jul 8, 2007

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