NPI 1235761818

Jessa Cook, ATLATC

Practitioner Athletic Trainer Meridian, ID

Practice location

Address: 3399 E Louise Dr, Meridian, ID 83642-5211
Phone: (208) 706-2663
Fax: (208) 489-4300
Mailing address: 3904 N Mountain View Cir, Boise, ID 83704-3563

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT-656 (ID)

Other Specialist/Technologist providers in Idaho →

Registry record

NPI: 1235761818
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Feb 2020
Record last updated: 11 Feb 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.