JACKIE HENRY

NPI: 1639136351 · Individual · Active

Primary Specialty

Athletic Trainer
Specialist/Technologist — Athletic Trainer

Practice Location

6749 W EDEN CT
RATHDRUM, ID 83858-6423 Map ↗
Phone: 208-687-2156

All Specialties & Licenses

  • Athletic Trainer Primary — Athletic Trainer (license: AT-258, ID)

NPI Registration

Enumerated: 2006-04-27

Last CMS Update: 2007-07-08