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Individual

NATHANIEL BURNS BECHTEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MK, LAT, ATC

Contact information

Practice address
2619 W FAIRVIEW AVE, BOISE, ID 83702-6722
(208) 706-2663
Mailing address
209 E MALLARD DR APT 320, BOISE, ID 83706-6617
(986) 210-6413

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-744
ID
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
01/17/2019
Last updated
07/01/2025
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