Individual
NOAH DORR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
8978 W CANDLESTON LN, BOISE, ID 83709-2979
(208) 819-1011
Mailing address
8978 W CANDLESTON LN, BOISE, ID 83709-2979
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A160957227
WA
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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