Individual
SETH REDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
1910 UNIVERSITY DR, BOISE, ID 83725-1021
(208) 426-1696
(208) 426-2603
Mailing address
1910 UNIVERSITY DR, BOISE, ID 83725-1021
(208) 426-1696
(208) 426-2603
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-519
ID
Other
Enumeration date
08/31/2014
Last updated
08/31/2014
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