NPI age
9 years
Enumerated 2017-01-18
Across 2006 active physical therapist providers in Idaho.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | T4868 | BLUE CROSS |
| 01 (ID) | 000010030447 | BLUE SHIELD |
| 05 (ID) | 1275512246 |
Multi-provider organization. 1 individual provider on file at this primary address.
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