Individual
ANNA RICHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATHLETIC TRAINER
Contact information
Practice address
1946 W JANET CT, EAGLE, ID 83616-3757
(208) 869-1161
Mailing address
1946 W JANET CT, EAGLE, ID 83616-3757
(208) 869-1161
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0696581389-8
—
ID
Enumeration date
07/14/2020
Last updated
07/14/2020
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