SAMUEL TIMOTHY HETHERINGTON

NAMPA, ID
NPI1093325979
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-6926)
Enumeration Date2020-08-05
Last Update Date2020-08-05
Business Address
SAMUEL TIMOTHY HETHERINGTON DPT
2005 12TH AVE RD
NAMPA, ID 83686-6311
Phone number: 208-463-0022
Mailing Address
SAMUEL TIMOTHY HETHERINGTON DPT
2005 12TH AVE RD
NAMPA, ID 83686-6311
Phone number: 208-463-0022
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