Individual
MISS BROOKE SUZANNE REY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
300 NORTH COLLEGE ROAD WEST, TWIN FALLS, ID 83301-5029
(208) 732-7555
Mailing address
1140 STARFIRE STREET, TWIN FALLS, ID 83301-5029
(208) 340-0831
(208) 732-7556
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-366
ID
Other
Enumeration date
07/15/2010
Last updated
04/18/2014
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