NPI age
18 years
Enumerated 2007-11-05
Across 2006 active physical therapist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 820520880 | TRICARE |
| 05 (ID) | 807962600 | |
| 01 (ID) | TD821 | BLUE CROSS |
| 01 (ID) | 000010171917 | REGENCE BLUE SHIELD |
Solo or small practice. No other active providers share this practice address in NPPES.
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