NPI age
20 years
Enumerated 2006-01-10
Across 2006 active physical therapist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 | T4868 | BLUE CROSS OF IDAHO |
| 01 | 000010030447 | BLUE SHIELD OF IDAHO |
| 05 (ID) | 1275512246 |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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