NPI age
20 years
Enumerated 2006-03-20
Across 2006 active physical therapist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 002608400 | |
| 01 | 000010025156 | REGENCE BLUE SHIELD |
| 01 (ID) | T5048 | BLUE CROSS OF IDAHO |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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