THOMAS HENRIE

POCATELLO, ID
NPI1801311246
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID  AT-613)
Enumeration Date2017-08-07
Last Update Date2017-08-07
Business Address
THOMAS HENRIE AT
3960 STOCKMAN RD.
POCATELLO, ID 83204
Phone number: 208-851-1213
Mailing Address
THOMAS HENRIE AT
3960 STOCKMAN RD
POCATELLO, ID 83204-2004
Phone number:
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