NPI age
19 years
Enumerated 2007-01-20
Across 2006 active physical therapist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 0044033 | |
| 01 (ID) | 1002857 | STATE INSURANCE FUND |
| 01 (ID) | 1225235039 | GROUP NPI |
| 01 (ID) | T2797 | BLUE CROSS |
| 01 (ID) | 322212 | BLUE SHIELD |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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