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SHAYLA DIANE FOSTER MS, LAT, ATC

Individual Provider (NPI-1) Active

Preventive Medicine, Sports Medicine

Provider Information

NPI Number
1497386841
Provider Type
Individual Provider (NPI-1)
Credentials
MS, LAT, ATC
Status
Active

Contact & Location

Address
2000 S MILLENIUM WAY, MERIDIAN, ID, 836421551
Phone
(303) 319-3004

Specialties & Taxonomies

Preventive Medicine, Sports Medicine Primary License: ID #AT-588

All Addresses

MAILING

7529 W MIDDLE FORK ST

BOISE, ID, 837096090

(303) 319-3004

LOCATION

2000 S MILLENIUM WAY

MERIDIAN, ID, 836421551

(303) 319-3004