Individual
JESSA COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATL, ATC
Contact information
Practice address
3399 E LOUISE DR, MERIDIAN, ID 83642-5211
(208) 706-2663
(208) 489-4300
Mailing address
3904 N MOUNTAIN VIEW CIR, BOISE, ID 83704-3563
(719) 352-1848
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-656
ID
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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