NPI 1033154802

James Floyd Spooner, ATC

Practitioner Athletic Trainer Boise, ID

Practice location

Address: Boise State University 1910 University Dr, Boise, ID 83725-0001
Phone: (208) 426-3944
Mailing address: 12522 W Bowmont CT, Boise, ID 83713-0023

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT-402 (ID)

Other Specialist/Technologist providers in Idaho →

Registry record

NPI: 1033154802
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jun 2006
Record last updated: 11 Jun 2012

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.