Prof. Ricky Karen Lewis, ATC-R
Prof. Ricky Karen Lewis, ATC-R is an Athletic Trainer in Moscow, Idaho. Practices as a sole proprietor. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2007
Practice location Address checks out
727 Nez Perce DrMoscow, ID 83843-4137
Phone: (208) 882-4368
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence AT-157 (ID) |
|---|
Record details
| NPI number | 1225165939 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | ATC-R |
| Sole proprietor | Yes |
| NPI enumerated | February 28, 2007 |
| Last updated in NPPES | July 8, 2007 |
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