Individual
SHAYNA SARISKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
1910 UNIVERSITY DR, BOISE, ID 83725-0001
(986) 290-0817
Mailing address
1910 UNIVERSITY DR, BOISE, ID 83725-0001
(986) 290-0817
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
9371364
ID
2255A2300X
Athletic Trainer
Primary
AT9464
TX
Other
Enumeration date
08/18/2020
Last updated
03/24/2026
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