| NPI | 1356964449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER ANN LOWE Owner/Physical Therapist 208-339-0951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2023-04-06 |