| NPI | 1013642867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY HAMPTON Physical Therapist/Owner 208-290-2984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-07-17 |
| Last Update Date | 2022-07-17 |