| NPI | 1235458654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOYD S RICKS Owner, Therapist 208-695-6688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: ID PT-2172) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ID OT-810) |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2010-05-25 |