TRACY ANN COLLINS

LEWISTON, ID
NPI1902172141
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID  AT-143)
Enumeration Date2012-03-30
Last Update Date2012-03-30
Business Address
-- TRACY ANN COLLINS ATC, LAT
621 19TH AVE
LEWISTON, ID 83501-3893
Phone number: 208-791-8582
Mailing Address
-- TRACY ANN COLLINS ATC, LAT
621 19TH AVE
LEWISTON, ID 83501-3893
Phone number: 208-791-8582