NPI age
20 years
Enumerated 2005-08-30
Across 2006 active physical therapist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010008652 | BLUE SHIELD |
| 01 (ID) | T0239 | BLUE CROSS OF IDAHO |
| 05 (ID) | 804131800 |
Solo or small practice. No other active providers share this practice address in NPPES.
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