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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FORREST Q PECHA, MS, ATC, LAT, OTC

Active

FORREST Q PECHA, MS, ATC, LAT, OTC is a Athletic Trainer healthcare provider located in BOISE, Idaho. NPI 1639372709 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · BOISE, ID

Registration Details

NPI Number
1639372709
Provider Type
Individual
Gender
Male
NPI Issued
Jun 7, 2007 (19.142032628518 yrs)
Last Updated
Jun 9, 2011
Licenses
AT001169 (GA)
02 5855 (GA)
AT-391 (ID)

Practice Information

Address
1109 W MYRTLE ST
SUITE 200
BOISE, ID, 837026970
Browse ID providers · Browse ZIP 83702
Phone
2084894331
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Medical Laboratory Technician
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in BOISE, ID

Name Credential NPI
DR. DAVE LYNN HAMMONS I ATC 1285607598
MR. ERIC ANTHONY TAYLOR ATC 1013979046
ASHLEE NOEL HARLOW ATC 1619912458
JAMES FLOYD SPOONER ATC 1033154802
JESSE GEORGE COPS ATC, LAT 1770528333
MS. NICOLE LORRAINE CLARK LAT, ATC 1538196563
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.