Individual
DR. KARI BRODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.A.T., A.T., L.A.T.
Contact information
Practice address
875 PERIMETER DR, MOSCOW, ID 83844-9803
(319) 722-8845
Mailing address
342 RODEO DR, MOSCOW, ID 83843-9778
(319) 722-8845
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-456
ID
Other
Enumeration date
04/28/2015
Last updated
04/28/2015
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