Individual
KATHRYN GAIL HARBACHECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2619 W FAIRVIEW AVE, BOISE, ID 83702-6722
(208) 863-9991
Mailing address
7312 CHILACOT DR, BOISE, ID 83709-6006
(208) 863-9991
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
ID
Other
Enumeration date
03/30/2012
Last updated
05/05/2025
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