Individual
REBECCA SUE WARNKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3125 VALENCIA DR, IDAHO FALLS, ID 83404-7575
(208) 529-3332
Mailing address
4172 E NIBLEY CIR, IDAHO FALLS, ID 83401-3781
(906) 281-9852
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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