| NPI | 1184779514 |
|---|---|
| Other Name | IDAHO PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | DAVID RAY Owner 208-377-5005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2022-07-21 |