NPI 1083411151

Michelle Clark, RTTPRACTITIONER

Practitioner Health & Wellness Coach Jerome, ID

Practice location

Address: 596 Silver Beach Dr, Jerome, ID 83338-6416
Phone: (385) 279-1039

Registered specialties

Health & Wellness Coach Primary

Other Service Providers Taxonomy 171400000X

Other Health & Wellness Coach providers in Idaho →

Registry record

NPI: 1083411151
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Feb 2025
Record last updated: 3 Mar 2025

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.