NPI age
20 years
Enumerated 2005-07-01
Across 2006 active physical therapist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | T0304 | BLUE CROSS |
| 01 (ID) | 185549800 | US DEPT OF LABOR |
| 01 (ID) | 820517063 | CHAMPUS |
| 01 (ID) | 1650588 | OTHER MISC. INSURANCES |
| 05 (ID) | 002721200 | |
| 01 (ID) | 000010018448 | REGENCE BLUE SHIELD |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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