MAKENNA LEE TURK

COEUR D ALENE, ID
NPI1780106161
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID  AT-717)
Enumeration Date2017-07-07
Last Update Date2020-11-17
Business Address
MAKENNA LEE TURK MAT, LAT, ATC
5530 N 4TH ST
COEUR D ALENE, ID 83815-9266
Phone number: 406-239-3543
Mailing Address
MAKENNA LEE TURK MAT, LAT, ATC
4132 E 16TH AVE # D318
POST FALLS, ID 83854-2200
Phone number: 406-239-3543
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