NPI age
19 years
Enumerated 2006-11-09
Across 2006 active physical therapist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | TD207 | BLUE CROSS INDIVIDUAL # |
| 01 (ID) | 000010152190 | BLUE SHIELD INDIV. NUMBER |
| 01 (ID) | 000010152186 | BLUE SHIELD GROUP NUMBER |
| 01 (ID) | 8M467 | BLUE CROSS GROUP NUMBER |
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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