Individual
BAILEY EVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2932 N EAGLE RD, MERIDIAN, ID 83646-6251
(208) 996-1400
Mailing address
2932 N. EAGLE ROAD, SUITE 101, MERIDIAN, ID 83646
(208) 996-1400
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
ID
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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