JONAH NICHOLAS HEYNEMAN

POCATELLO, ID
NPI1164040655
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  6967)
Additional Taxonomies225100000X Physical Therapist
Enumeration Date2020-07-10
Last Update Date2020-07-10
Business Address
DR. JONAH NICHOLAS HEYNEMAN PT, DPT
675 YELLOWSTONE AVE # 1
POCATELLO, ID 83201-4511
Phone number: 208-478-1488
Mailing Address
DR. JONAH NICHOLAS HEYNEMAN PT, DPT
486 PHEASANT RIDGE DR APT B
CHUBBUCK, ID 83202-1689
Phone number: 208-852-6538
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