Jonathan Lee
Jonathan Lee is an Athletic Trainer in Moscow, Idaho. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
1310 W A St 102Moscow, ID 83843-4035
Phone: (818) 331-5990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1174057657 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 12, 2017 |
| Last updated in NPPES | April 12, 2017 |
| Mailing address | 1310 W A St, 102, Moscow, ID 83843-4035 |
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