NPI age
18 years
Enumerated 2007-08-22
Across 2006 active physical therapist providers in Idaho.
15 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (KY) | 7869690 | AETNA |
| 05 (ID) | 807980200 | |
| 01 (ID) | P00320548 | BLUE SHIELD MEDICARE ADVA |
| 01 (ID) | T9345 | BCID |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 15 individual providers on file at this primary address.
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