Monica Leigh Kraack, ATC, LAT Valid NPI

Individual provider · Athletic Trainer · St Maries, ID

NPI

1073889366

Type

Individual (Type 1)

Primary specialty

Athletic Trainer (Specialist/Technologist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

2255A2300X

License number

AT-361 (ID)

Sex

Female

Sole proprietor

Yes

Enumerated

2012-03-30

Last updated

2012-03-30