NPI age
19 years
Enumerated 2006-11-29
Across 2006 active physical therapist providers in Idaho.
6 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 002772100 | |
| 01 (ID) | 000010136816 | BLUE SHIELD |
| 01 (ID) | T9883 | BLUE CROSS |
Multi-provider organization. 6 individual providers on file at this primary address.
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