Haiden L Siepert, ATC, LAT

NPI #1093132458 in Pocatello, Idaho

Provider Information

NPI Number
1093132458
Entity Type
Individual
Name
Haiden L Siepert, ATC, LAT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC, LAT
Enumeration Date
Mar 24, 2014
Last Updated
Mar 24, 2014

Practice Location

Address
1151 HOSPITAL WAY
State
Idaho
ZIP Code
83201-5091
Phone
(801) 564-2174

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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