Individual
CHLOE TIERSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT, ATC, LAT
Contact information
Practice address
1900 W PINE AVE, MERIDIAN, ID 83642-1999
(208) 350-4160
Mailing address
15907 N KIRKPATRICK WAY, NAMPA, ID 83651-3017
(509) 720-9741
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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