| NPI | 1063989390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L MCATEER Owner/Physical Therapist 208-406-1917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2018-10-24 |