NPI 1376363911

Chloe Tiersma, MATATCLAT

Practitioner Athletic Trainer Meridian, ID

Practice location

Address: 1900 W Pine Ave, Meridian, ID 83642-1999
Phone: (208) 350-4160
Mailing address: 15907 N Kirkpatrick Way, Nampa, ID 83651-3017

Registered specialties

Athletic Trainer Primary

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

Other Specialist/Technologist providers in Idaho →

Registry record

NPI: 1376363911
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Oct 2024
Record last updated: 16 Oct 2024

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.