Individual
ALYSSA FREI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
722 W NORTH ST, GRANGEVILLE, ID 83530-1350
(208) 983-8590
Mailing address
PO BOX 16, FERDINAND, ID 83526-0016
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-601
ID
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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