NPI age
19 years
Enumerated 2007-05-01
Across 2006 active physical therapist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 002609200 | |
| 01 | 82040818683854A003 | TRICARE |
| 01 (ID) | 000010019002 | REGENCE BLUE SHIELD |
| 01 (ID) | 4004 | STATE INSURANCE FUND |
| 01 (ID) | T-5345 | BLUE CROSS |
| 01 (WA) | 2937 | WASHINGTON LABOR & INDUST |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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