M ANDREW MIX

TWIN FALLS, ID
NPI1346205937
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-1352)
Enumeration Date2006-04-18
Last Update Date2015-11-24
Business Address
-- M ANDREW MIX RPT
276 EASTLAND DR N
TWIN FALLS, ID 83301-4458
Phone number: 208-735-8563
Mailing Address
-- M ANDREW MIX RPT
276 EASTLAND DR N
TWIN FALLS, ID 83301-4458
Phone number: 208-735-8563
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