Individual
NATSUMI KURIBAYASHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
875 PERIMETER DR, MOSCOW, ID 83844-9803
(208) 885-0256
Mailing address
875 PERIMETER DR, MOSCOW, ID 83844-9803
(208) 885-0256
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-707
ID
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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