| NPI | 1326825399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE MYERS Owner/Physical Therapist 208-610-0301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2023-09-12 |