NPI age
18 years
Enumerated 2007-10-15
Across 44 active physical therapist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 | TD688 | BLUE CROSS OF IDAHO |
| 01 | 000010164610 | REGENCE BLUE SHIELD |
| 05 (ID) | 807908300 |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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