Lexis Fouts Valid NPI
Individual provider · Athletic Trainer · Moscow, ID
- NPI
- 1811515067
- Type
- Individual (Type 1)
- Primary specialty
- Athletic Trainer (Specialist/Technologist)
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 2255A2300X
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2020-07-13
- Last updated
- 2020-07-13
Practice location
617 W Taylor Ave # A
Moscow, ID 83843-2411
(208) 964-5936