NPI age
19 years
Enumerated 2006-11-29
Across 2006 active physical therapist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 327268 | BLUE SHIELD PROVIDER # |
| 01 (ID) | T3761 | BLUE CROSS IDAHO PROVIDER |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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