Individual
BAILEY CAROLINE FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATS
Contact information
Practice address
921 S 8TH AVE, POCATELLO, ID 83209-0001
(208) 240-3247
Mailing address
5013 CONSTITUTION AVE, CHUBBUCK, ID 83202-3075
(208) 240-3247
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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