NPI 1003650250

Jennifer Lynn Rice, LATATC

Practitioner Athletic Trainer Boise, ID

Practice location

Address: 2619 W Fairview Ave, Boise, ID 83702-6722
Phone: (208) 706-2676
Mailing address: 3410 N Whistler Ln APT 107, Boise, ID 83703-6903

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT-911 (ID)

Other Specialist/Technologist providers in Idaho →

Registry record

NPI: 1003650250
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jun 2024
Record last updated: 22 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.