JESSICA ANNELAINE VANDYKE

BLACKFOOT, ID
NPI1104394659
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-5957)
Enumeration Date2018-11-02
Last Update Date2022-09-16
Business Address
JESSICA ANNELAINE VANDYKE DPT
282 W BRIDGE ST
BLACKFOOT, ID 83221
Phone number: 208-684-0021
Mailing Address
JESSICA ANNELAINE VANDYKE DPT
1800 FLANDRO DR STE 190
POCATELLO, ID 83202-4940
Phone number: 208-233-2248