Individual
RECHELLE ANN MEADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
875 PERIMETER DRIVE, MOSCOW, ID 83844
(208) 885-6111
Mailing address
1137 W A STREET, APT 5, MOSCOW, ID 83843
(208) 892-4259
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
ID
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
ID
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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