Individual
BRENNA ELIZABETH SWEENEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
6052 W STATE ST, BOISE, ID 83703-2739
(208) 344-7799
Mailing address
6052 W STATE ST, BOISE, ID 83703-2739
(208) 344-7799
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-578
ID
Other
Enumeration date
06/25/2016
Last updated
06/25/2016
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