Individual
JOANNA KATE SCHISEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
600 N ROBBINS RD, BOISE, ID 83702-4565
(208) 383-0201
Mailing address
3697 E ANEMONE CT, BOISE, ID 83716-6931
(208) 841-5311
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-345
ID
Other
Enumeration date
06/23/2010
Last updated
01/31/2015
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