Individual
NATHANIEL HEYMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
875 PERIMETER DR # MS 2401, MOSCOW, ID 83844-9803
(208) 885-2182
Mailing address
422 E 8TH ST APT 2, MOSCOW, ID 83843-5200
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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