KORENE D MAYO


Address: 1188 University Dr, Boise, ID 83706-3009
Phone: 2083368250

KORENE D MAYO (NPI# 1538359815) 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) 1538359815
Entity Type Individual
Full Name KORENE D MAYO
Credential ATC, LAT
Practice Address 1188 University Dr
Boise
ID 83706-3009
Practice Telephone 2083368250
Practice Fax Number 2083459514
Mailing Telephone 2083368250
Mailing Fax Number 2083459514
Enumeration Date 2007-08-01
Last Update Date 2007-08-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
A-025 ID Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
ID STATE OF IDAHO AT-025 01

Office Location

Street Address 1188 UNIVERSITY DR
City BOISE
State ID
Zip Code 83706-3009

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063418903 George A. Wade Orthopaedic Surgery 1188 University Dr, Boise, ID 83706-3009 2005-06-24
1154356624 Idaho Sports Medicine Institute, Pa Neuromusculoskeletal Medicine, Sports Medicine 1188 University Dr, Boise, ID 83706-3009 2006-07-12
1184699787 Elizabeth Greenway Schoenfeld Physical Therapist 1188 University Dr, Boise, ID 83706-3009 2006-02-17
1609872241 Kristin K Hulquist Physical Therapist 1188 University Dr, Boise, ID 83706 2005-06-27
1639175276 Bradford R. Page Physical Therapist 1188 University Dr, Boise, ID 83706 2005-06-27
1386640928 Linda Hammann Physical Therapist 1188 University Dr, Boise, ID 83706-3009 2005-06-27
1245236983 Jennifer Rawlings Miller Orthopaedic Surgery 1188 University Dr, Boise, ID 83706 2005-06-27
1043216823 Scot B Scheffel Family Medicine 1188 University Dr, Boise, ID 83706 2005-06-24
1033115803 Kirk J Lewis Orthopaedic Surgery 1188 University Dr, Boise, ID 83706 2005-06-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164993010 Brette Marie Stephenson Counselor 1529 Belmont St., Boise, ID 83706 2018-12-17
1295249241 Boise of Cascadia, LLC Skilled Nursing Facility 6000 W. Denton St., Boise, ID 83706 2017-11-29
1174035638 Zacharia Njoroge Physician Assistant 1055 N Curtis Rd 6th Floor, Boise, ID 83706 2017-10-24
1740708965 Total Renal Care Inc Clinic/Center 1070 N Curtis Rd Ste 125, Boise, ID 83706 2017-09-08
1023532173 Amber Frisch Massage Therapist 2509 S Gekeler Lane, Boise, ID 83706 2017-07-31
1952768145 Katie Garcin Specialist 1407 E Boston Dr, Boise, ID 83706 2016-01-20
1770950677 Kathryn Bender Counselor 1205 N Garden St, Boise, ID 83706 2015-08-26
1457751802 Sabrina Shumar Physician Assistant 901 N Curtis Rd Ste 501, Boise, ID 83706 2014-09-03
1831525070 Katie Joy Wilson Social Worker 333 W. Rossi St. #300, Boise, ID 83706 2013-09-19
1609208610 Christine Lea Eden Surgery 1075 N Curtis Rd Ste 101, Boise, ID 83706 2013-07-31
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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
1124684758 Mallory Sue Barber Specialist/Technologist 12598 W Medalist Dr, Boise, ID 83709-6500 2019-05-20
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
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Competitor

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City BOISE
Zip Code 83706

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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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