| NPI | 1104045392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN LANNIE CHECKETTS CFO & Board Member 208-367-2844 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| 261QR0400X Clinic/Center Rehabilitation | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2025-06-16 |