Tracy Ann Collins, ATC, LAT

NPI #1902172141 in Lewiston, Idaho

Provider Information

NPI Number
1902172141
Entity Type
Individual
Name
Tracy Ann Collins, ATC, LAT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC, LAT
Enumeration Date
Mar 30, 2012
Last Updated
Mar 30, 2012

Practice Location

Address
621 19TH AVE
State
Idaho
ZIP Code
83501-3893
Phone
(208) 791-8582

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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