Individual
ASHLEY LETSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
204 E 350 N, BLACKFOOT, ID 83221-5909
(208) 709-1870
Mailing address
921 S 8TH AVE, MCINTOSH MANOR D9, POCATELLO, ID 83209
(805) 657-3396
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-669
ID
Other
Enumeration date
03/26/2018
Last updated
01/10/2022
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