ALICIA CARLISLE

BOISE, ID
NPI1538557020
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID  AT-537)
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR  AT-10167026)
Enumeration Date2015-01-06
Last Update Date2015-01-06
Business Address
-- ALICIA CARLISLE ATC
1055 N CURTIS RD
BOISE, ID 83706-1309
Phone number: 469-363-6875
Mailing Address
-- ALICIA CARLISLE ATC
4847 W TARGEE ST
BOISE, ID 83705-3656
Phone number: 469-363-6875