Individual
NORA IFFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
302 W HASTINGS RD, SPOKANE, WA 99218-2545
(509) 714-2888
Mailing address
2623 WHEATON ST, CHENEY, WA 99004-2186
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
60580273
WA
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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