| NPI | 1184717696 |
|---|---|
| Other Name | PTSMI |
| Entity Type | Organization |
| Authorized Contact | MICHAEL A WHITING Owner/President 208-664-1119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2010-07-09 |