Individual
ZACH MCCARTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3331 W PARK CREEK DR, MERIDIAN, ID 83642-4225
(208) 871-9879
Mailing address
3331 W PARK CREEK DR, MERIDIAN, ID 83642-4225
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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