NPI 1477380152

Cassi Kimberly Fackrell, NBCHWC

Practitioner Health & Wellness Coach Meridian, ID

Practice location

Address: 257 S Riggs Spring Ave, Meridian, ID 83642-5697
Phone: (208) 246-9472

Registered specialties

Health & Wellness Coach Primary

Other Service Providers Taxonomy 171400000X Licence A-3962199 (ID)

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Registry record

NPI: 1477380152
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Sep 2024
Record last updated: 17 Sep 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.