Jackson Spencer

NPI # 

Practice Address:

627 Kenneth St

Moscow, ID, 83843-3904

Practice Phone:

208-310-3255

Taxonomy Grouping:

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Classification:

Specialist/Technologist

Taxonomy Specialization:

Athletic Trainer

Taxonomy Code:

2255A2300X

Updated by NPPES on 4/9/2017. You can view the original data set for NPI # 1306379169 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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