NPI age
19 years
Enumerated 2007-04-02
Across 2006 active physical therapist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 5479460 | CCN |
| 01 (ID) | 85120066610450 | REGENCE LIFE & HEALTH |
| 01 (ID) | TD401 | BLUE CROSS OF IDAHO |
| 01 (ID) | 731656010 | TRICARE |
| 01 (ID) | 610872200 | DOL-ACS OWCP |
| 01 (ID) | 0000-10144181 | BLUE SHIELD |
| 05 (ID) | 806629100 | |
| 01 (ID) | 5744703 | FIRST HEALTH |
| 01 (ID) | 7042522 | AETNA |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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