Jackson Spencer
Athletic Trainer · Moscow, ID
NPI number
1306379169
Practice location
627 Kenneth StMoscow, ID 83843-3904
- Phone
- (208) 310-3255
NPI record
- NPI
- 1306379169
- Entity type
- Individual (Type 1)
- Enumeration date
- April 9, 2017
- Last updated
- April 9, 2017
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Athletic Trainer Primary | 2255A2300X |
— | — |
About Jackson Spencer
Jackson Spencer is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 627 Kenneth St, Moscow, ID 83843-3904. The NPI number 1306379169 was assigned on April 9, 2017 and the record was last updated on April 9, 2017.
Frequently asked questions
What is the NPI number of Jackson Spencer?
The NPI number is 1306379169.
What is the phone number of Jackson Spencer?
The phone number listed for the practice location is (208) 310-3255.
Where is Jackson Spencer located?
627 Kenneth St, Moscow, ID 83843-3904.
What is the taxonomy code for Jackson Spencer?
The primary taxonomy code is 2255A2300X – Athletic Trainer.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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