Individual
ANDREW HAMSTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS. ATC
Contact information
Practice address
626 BRITTON LN, MOSCOW, ID 83843-8794
(720) 280-1042
Mailing address
626 BRITTON LN, MOSCOW, ID 83843-8794
(720) 280-1042
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002243
GA
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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