| NPI | 1265766356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH ANNE KAPPES Physical Therapist 208-985-3738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501011824) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2020-08-10 |