Jace Patrick Puckett
NPI #1982196291 in Moscow, Idaho
Provider Information
- NPI Number
- 1982196291
- Entity Type
- Individual
- Name
- Jace Patrick Puckett
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Jun 1, 2018
- Last Updated
- Jun 1, 2018
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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