| NPI | 1144494105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLISON SANDERS Owner / Physical Therapist 208-664-2468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: ID PT-2061) |
| Enumeration Date | 2008-04-21 |
| Last Update Date | 2012-01-30 |