NPI | 1295919439 |
---|---|
Doing Business As | BLACKFOOT PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | BRANDON HAWKER Owner 208-785-0123 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Enumeration Date | 2007-12-24 |
Last Update Date | 2022-12-28 |