DUSTIN K ELLIOTT

MOUNTAIN HOME, ID
NPI1013354109
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT3243)
Enumeration Date2013-05-29
Last Update Date2013-05-29
Business Address
-- DUSTIN K ELLIOTT DPT
1005 W 6TH S
MOUNTAIN HOME, ID 83647-3339
Phone number: 208-587-1777
Mailing Address
-- DUSTIN K ELLIOTT DPT
7550 W EMERALD ST
BOISE, ID 83704-9015
Phone number: 208-375-0666
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