NPI age
19 years
Enumerated 2007-04-04
Across 2006 active physical therapist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 5744703 | FIRST HEALTH |
| 01 (ID) | PT1555 | TRICARE |
| 05 (ID) | 807400900 | |
| 01 (ID) | P00320548 | BLUE SHIELD MEDICARE ADV |
| 01 (ID) | TD646 | BCID |
Part of a multi-provider practice. 16 other active providers share this practice address in NPPES.
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