MALLORY SUE BARBER (NPI# 1124684758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124684758 |
Entity Type | Individual |
Full Name | MALLORY SUE BARBER |
Credential | ATC |
Practice Address |
12598 W Medalist Dr Boise ID 83709-6500 |
Practice Telephone | 2089543479 |
Mailing Telephone | 2089543479 |
Enumeration Date | 2019-05-20 |
Last Update Date | 2019-05-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
12598 W MEDALIST DR |
City | BOISE |
State | ID |
Zip Code | 83709-6500 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427655398 | Jayme Rossow | Occupational Therapist | 101 S. Allumbaugh Way, Boise, ID 83709 | 2020-10-05 |
1578195285 | Kara Taylor | Counselor | 9196 W Barnes St., Boise, ID 83709 | 2020-02-11 |
1164080164 | Elena Stamm | Audiologist | 10000 W Amity Rd, Boise, ID 83709 | 2019-06-04 |
1326550096 | Lawrence D Anderson Md Estate | Optometrist | 8955 W Hackamore Dr, Boise, ID 83709 | 2017-11-02 |
1457879975 | Mark Aaron Phelan | Registered Nurse | 779 S. Tennyson Way, Boise, ID 83709 | 2017-09-05 |
1235665290 | Sharon Nelson | Dietitian, Registered | 2790 S Goshen Way, Boise, ID 83709 | 2017-05-11 |
1982139622 | First Choice Healthcare, Inc. | Home Health | 12400 W. Overland Rd., Ste 100, Boise, ID 83709 | 2017-05-01 |
1801320254 | Deborah Carson | Social Worker | 8349 West Harmonica Way, Boise, ID 83709 | 2017-04-12 |
1114479862 | Allyson Anne Bates | Nurse Practitioner | 10583 W Lake Hazel Road, Samg Family Medicine, Boise, ID 83709 | 2016-10-28 |
1508221391 | Elisha L. Garrison | Counselor | 9196 W. Barnes Street, Boise, ID 83709 | 2015-12-21 |
Find all providers in zip 83709 |
Taxonomy Code | 2255A2300X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Specialist/Technologist |
Specialization | Athletic Trainer |
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528680568 | David Book | Specialist/Technologist | 1707 N 26th St, Boise, ID 83702-0112 | 2020-05-13 |
1790304889 | Jared Neal | Specialist/Technologist | 12118 W Hinsdale Ct, Boise, ID 83713-4771 | 2020-04-09 |
1144877275 | Thisbe Cosette Sahwell | Specialist/Technologist | 1614 S Loggers Pond Pl Apt 23, Boise, ID 83706-7501 | 2019-08-22 |
1780243469 | Taylor Christine Grubbs | Specialist/Technologist | 14242 W Elmsprings St, Boise, ID 83713-1285 | 2019-06-06 |
1255999421 | Logan Rice | Specialist/Technologist | 4765 N Wildrye Dr, Boise, ID 83703-3815 | 2019-06-03 |
1750859542 | Andrew Jay Hammerquist | Specialist/Technologist | 4884 S Whitmore Way, Boise, ID 83709-3465 | 2018-11-09 |
1679053789 | David Redinger | Specialist/Technologist | 3409 N Whistler Ln Apt 201, Boise, ID 83703-6298 | 2018-08-17 |
1952892168 | Jessica Kerns | Specialist/Technologist | 6001 W Cassia St, Boise, ID 83709-2199 | 2018-05-23 |
1326577610 | Koreen Boydstun | Specialist/Technologist | 3301 Sweetwater Dr, Boise, ID 83716 | 2017-06-08 |
1194276550 | Dylan E Schmick | Specialist/Technologist | 1910 University Drive, Boise, ID 83725 | 2016-10-20 |
Find all providers in BOISE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.