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Shelbie Jean Hackett, ATS
Student in an Organized Health Care Education/Training Program in Moscow, Idaho
NPI 1780116210

Shelbie Jean Hackett is a Student in an Organized Health Care Education/Training Program based in Moscow, ID. Shelbie Jean Hackett practices in Moscow, ID and has the professional credentials of ATS. The NPI Number for Shelbie Jean Hackett is 1780116210 and holds a License No. (Idaho).

The current practice location address for Shelbie Jean Hackett is 411 S Almon St # 1, Moscow, ID and can be reached out via phone at 208-514-9689.

Location: 411 S Almon St # 1, Moscow, ID, 83843-2219
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780116210
Provider Name
Shelbie Jean Hackett
Credential
ATS
Provider Entity Type
Individual
Gender
Female
Address
411 S Almon St # 1, Moscow, ID, 83843-2219
Phone Number
208-514-9689
Fax Number
Provider Enumeration Date
04/03/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
411 S Almon St # 1
City
Moscow
State
Idaho
Zip
83843-2219
Phone Number
208-514-9689
Fax Number
person
Provider Business Mailing Address Details
Address
411 S Almon St # 1
City
Moscow
State
Idaho
Zip
83843-2219
Phone Number
208-514-9689
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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