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Macie Vanmatre
NPI 1104717495 · on the registry since 2025
Practice
- Address
- 8090 W 5th St Unit 1
Rathdrum, ID 83858 - Phone
- (208) 457-2544
- Clinicians at this address
- 2
Additional practice sites
- 200 Physical Education Building, Cheney, WA
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 390200000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho