Individual
DEBBY CARSCALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1410 E D ST, MOSCOW, ID 83843-3642
(208) 892-1180
(208) 892-1182
Mailing address
318 S CLEVELAND ST, MOSCOW, ID 83843-3768
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-089
ID
Other
Enumeration date
09/04/2006
Last updated
07/08/2007
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