NPI age
19 years
Enumerated 2006-07-10
Across 2006 active physical therapist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010150822 | BLUE SHIELD |
| 01 (WA) | 0198312 | LABOR AND INDUSTRY |
| 01 (ID) | TC811 | BLUE CROSS |
| 05 (ID) | 807206500 |
Part of a multi-provider practice. 16 other active providers share this practice address in NPPES.
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