Individual
PATRICK PALKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
500 8TH AVE, LEWISTON, ID 83501-2691
(208) 200-2145
Mailing address
640 SW GOLDEN HILLS DR, APT D201, PULLMAN, WA 99163-6701
(716) 982-9763
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-470
ID
Other
Enumeration date
03/05/2014
Last updated
03/05/2014
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