Individual provider · Type 1 NPI

Shelbie Jean Hackett, ATS

Student in an Organized Health Care Education/Training Program · Moscow, ID

NPI number 1780116210 Active

Practice location

411 S Almon St # 1
Moscow, ID 83843-2219

Call (208) 514-9689 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1780116210

Shelbie Jean Hackett, ATS's National Provider Identifier is 1780116210, issued on Apr 3, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Moscow, ID. The record was last updated on Apr 3, 2017.