Individual
MONICA LEIGH KRAACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
46499 S HIGHWAY 3, ST MARIES, ID 83861-9642
(208) 819-7706
Mailing address
46499 S HIGHWAY 3, ST MARIES, ID 83861-9642
(208) 819-7706
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-361
ID
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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