BRICE ANDERSON

POCATELLO, ID
NPI1043716285
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID  AT-657)
Enumeration Date2018-04-05
Last Update Date2024-09-27
Business Address
BRICE ANDERSON MSAT, LAT, ATC, CSCS
777 HOSPITAL WAY
POCATELLO, ID 83201-5175
Phone number: 208-242-8650
Mailing Address
BRICE ANDERSON MSAT, LAT, ATC, CSCS
1412 SARATOGA ST
POCATELLO, ID 83201-2253
Phone number: 208-242-8650