DRAKE MATHEW HEITHOFF

CALDWELL, ID
NPI1063397461
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  7171077)
Enumeration Date2025-08-06
Last Update Date2025-08-06
Business Address
Dr. DRAKE MATHEW HEITHOFF PT, DPT
4623 ENTERPRISE WAY
CALDWELL, ID 83605-6764
Phone number: 208-455-4231
Mailing Address
Dr. DRAKE MATHEW HEITHOFF PT, DPT
11057 W BRASSY COVE LOOP APT 201
NAMPA, ID 83651-5145
Phone number: