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1053692152
CODY WHEELER
TWIN FALLS, ID
NPI
1053692152
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-2869)
Enumeration Date
2011-09-01
Last Update Date
2011-09-01
Business Address
-- CODY WHEELER PT
801 POLE LINE
TWIN FALLS, ID 83301
Phone number: 208-814-2570
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Mailing Address
-- CODY WHEELER PT
2424 INDEPENDENCE ST.
TWIN FALLS, ID 83301
Phone number: 801-696-6171
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