NPI age
19 years
Enumerated 2007-03-06
Across 2006 active physical therapist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | TD563 | BLUE CROSS IDAHO |
| 05 (ID) | 004405500 | |
| 01 (ID) | 000010159590 | BLUE SHIELD IDAHO |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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