NPI age
19 years
Enumerated 2006-06-01
Across 2006 active physical therapist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 807710200 | |
| 01 (ID) | 0129414 | LABOR & INDUSTRY |
| 01 (ID) | 7767492 | AETNA |
| 01 (WA) | 911745305-83544-A005 | TRICARE |
| 01 (ID) | T4751 | BLUE CROSS OF IDAHO |
| 01 (ID) | 000010027518 | REGENCE BLUE SHIELD OF ID |
| 01 (ID) | 650021544 | RAILROAD MEDICARE |
| 05 (ID) | 805249100 |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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