Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TOMMIA PAKOOTAS
Active Sole ProprietorAthletic Trainer · MOSCOW, ID
Registration Details
- NPI Number
- 1528808417
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 29, 2024 (1.8988591390165 yrs)
- Last Updated
- May 29, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
875 PERIMETER DRMOSCOW, ID, 838449803Browse ID providers · Browse ZIP 83844
- Phone
- 2088852182
- Primary Specialty
-
Athletic Trainer
225500000X
- Additional Specialty
- Athletic Trainer
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.