Individual
EMILY ROSE SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
875 PERIMETER DR, MOSCOW, ID 83844-9803
(773) 807-0429
Mailing address
304 VICTORIA DR, MOSCOW, ID 83843-5041
(773) 807-0429
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
7371560
ID
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
About Stedi
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