RICKY KAREN LEWIS

MOSCOW, ID
NPI1225165939
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID  AT-157)
Enumeration Date2007-02-28
Last Update Date2007-07-08
Business Address
Prof. RICKY KAREN LEWIS ATC-R
727 NEZ PERCE DR
MOSCOW, ID 83843-4137
Phone number: 208-882-4368
Mailing Address
Prof. RICKY KAREN LEWIS ATC-R
727 NEZ PERCE DR
MOSCOW, ID 83843-4137
Phone number: 208-882-4368