MALLORY SUE BARBER


Address: 12598 W Medalist Dr, Boise, ID 83709-6500
Phone: 2089543479

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 12598 W MEDALIST DR
City BOISE
State ID
Zip Code 83709-6500

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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
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City BOISE
Zip Code 83709

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Dataset Information

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.

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