NPI age
9 years
Enumerated 2017-01-03
Across 2006 active physical therapist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | PT-5849 | PT LICENSE |
| 05 (ID) | 1902341712 | |
| 01 (UT) | 10626586-2401 | PT LICENSE |
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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