Individual
ELENE ADLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
613 N SHILLING AVE, BLACKFOOT, ID 83221-1838
(208) 870-6163
Mailing address
613 N SHILLING AVE, BLACKFOOT, ID 83221-1838
(208) 870-6163
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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