NPI age
20 years
Enumerated 2005-11-16
Across 2006 active physical therapist providers in Idaho.
7 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010152186 | BLUE SHIELD PROVIDER NUMB |
| 05 (ID) | 807304100 | |
| 01 (ID) | 8M467 | BLUE CROSS PROVIDER NUMBE |
Multi-provider organization. 7 individual providers on file at this primary address.
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