| NPI | 1013136209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN LANNIE CHECKETTS CFO & Board Member 208-367-2844 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID 2) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics |
| 1041C0700X Social Worker Clinical (Licence: ID 2) | |
| 111NR0400X Chiropractor Rehabilitation (Licence: ID 2) | |
| 225800000X Recreation Therapist (Licence: ID 2) | |
| 225X00000X Occupational Therapist (Licence: ID 2) | |
| 225XP0200X Occupational Therapist Pediatrics | |
| 2278P1005X Respiratory Therapist, Certified Pulmonary Rehabilitation (Licence: ID 2) | |
| 235Z00000X Speech-Language Pathologist (Licence: ID 2) | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2024-10-17 |