NPI age
19 years
Enumerated 2007-04-26
Across 83 active physical therapist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010025485 | BLUE SHIELD PROVIDER NUM. |
| 05 (ID) | 805397000 | |
| 01 (ID) | T6251 | BLUE CROSS PROVIDER NUM. |
| 01 (ID) | P00060576 | RAILROAD MEDICARE NUMBER |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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