SCOTT GLEN KING

EMMETT, ID
NPI1053648923
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-1924)
Enumeration Date2009-11-12
Last Update Date2013-06-20
Business Address
-- SCOTT GLEN KING M.P.T.
103 S COMMERCIAL AVE
EMMETT, ID 83617-2921
Phone number: 208-477-8028
Mailing Address
-- SCOTT GLEN KING M.P.T.
PO BOX 1056
EMMETT, ID 83617-1056
Phone number: 208-477-8028
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