NPI age
18 years
Enumerated 2008-03-06
Across 2006 active physical therapist providers in Idaho.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 805399800 | |
| 01 (ID) | 000010020600 | REGENCE BLUE SHIELD |
| 01 | 185556100 | US DEPARTMENT OF LABOR |
| 01 (ID) | T3860 | BLUE CROSS |
| 01 | 650015362 | RAILROAD MEDICARE |
Multi-provider organization. 1 individual provider on file at this primary address.
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