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Contact Information

RICHARD GILLESPIE V, ATC, LAT, RCEP
251 S CAPITOL BLVD
BOISE, ID83702-7220
 Phone: 208-472-2200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
 

Clinical Exercise Physiologist

224Y00000X
Indicates primary specialty

NPI Profile & details for RICHARD GILLESPIE V · (Male)

NPI # 1255749578
Status Active
Credentials ATC, LAT, RCEP
Entity Individual
Enumeration date 07/30/2014
Last updated 07/30/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • FL License # 637759
  • ID License # AT-490
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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