Individual
MIKA SCOTT RIVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 CHESTNUT ST, CLARKSTON, WA 99403-2673
(208) 503-2662
Mailing address
281 PLEASANT VALLEY RD, CLEARWATER, ID 83552-5016
(208) 503-2662
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
ID
Other
Enumeration date
05/28/2020
Last updated
01/02/2025
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