| NPI | 1003863457 |
|---|---|
| Doing Business As | IDAHO PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | DAVID S RAY Owner 208-888-0044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2020-08-22 |