Individual
JULIA HASSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, OTC
Contact information
Practice address
1109 W MYRTLE ST, SUITE 200, BOISE, ID 83702-6970
(208) 383-0201
Mailing address
405 W VILLAGE LN, BOISE, ID 83702-6227
(734) 673-6578
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-511
ID
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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