NATHAN BURNETT

PRESTON, ID
NPI1225492804
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID  AT-245)
Enumeration Date2016-04-08
Last Update Date2016-04-08
Business Address
-- NATHAN BURNETT ATC
136 N 100 W
PRESTON, ID 83263-1062
Phone number: 208-851-0777
Mailing Address
-- NATHAN BURNETT ATC
136 N 100 W
PRESTON, ID 83263-1062
Phone number: 208-851-0777