NPI age
8 years
Enumerated 2018-05-17
Across 2006 active physical therapist providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | PT-5613 | STATE LICENSE |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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