Shelbie Jean Hackett, ATS

NPI #1780116210 in Moscow, Idaho

Provider Information

NPI Number: 1780116210
Entity Type: Individual
Name: Shelbie Jean Hackett, ATS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: ATS
Enumeration Date: Apr 3, 2017
Last Updated: Apr 3, 2017

Practice Location

Address: 411 S ALMON ST # 1
City: Moscow
State: Idaho
ZIP Code: 83843-2219
Phone: (208) 514-9689

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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