Individual
JESSICA REGNIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
901 N CURTIS RD STE 204, BOISE, ID 83706-1340
(208) 367-3315
Mailing address
1060 E 2475 S, HAGERMAN, ID 83332-5076
(208) 731-7137
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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