NPI 1134580962

Britt Dickman

Practitioner Athletic Trainer Pocatello, ID

Practice location

Address: 13279 N Moonglow Ln, Pocatello, ID 83202-5122
Phone: (208) 241-2487
Mailing address: 855 W Clark St, Pocatello, ID 83204-4160

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT-556 (ID)

Other Specialist/Technologist providers in Idaho →

Registry record

NPI: 1134580962
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Mar 2016
Record last updated: 7 Mar 2016

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.