Organization
COACHED BY CASSI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSI KIMBERLY FACKRELL NBC-HWC (OWNER/LEAD HEALTH COACH)
(208) 246-9472
Entity
Organization
Contact information
Practice address
6424 E SHERRYANNA LN, NAMPA, ID 83687-5500
(208) 246-9472
Mailing address
6424 E SHERRYANNA LN, NAMPA, ID 83687-5500
(208) 246-9472
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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