Jackie Henry
NPI #1639136351 in Rathdrum, Idaho
Provider Information
- NPI Number
- 1639136351
- Entity Type
- Individual
- Name
- Jackie Henry
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Apr 27, 2006
- Last Updated
- Jul 8, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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