NPI 1063039204

Jadelyn Taylor Eisele

Practitioner Athletic Trainer Moscow, ID

Practice location

Address: 707 Railroad St APT 4, Moscow, ID 83843-2381
Phone: (208) 392-7081

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in Idaho →

Registry record

NPI: 1063039204
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Jul 2020
Record last updated: 4 Jul 2020

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.