| NPI | 1053633313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL G GRIFFETH President 208-529-3355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: ID PT623) |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2014-07-21 |