SHELLEY THOMAS

BOISE, ID
NPI1376750505
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-1492)
Enumeration Date2007-05-17
Last Update Date2007-07-08
Business Address
-- SHELLEY THOMAS MPT
600 ROBBINS RD
BOISE, ID 83702-4539
Phone number: 208-489-4795
Mailing Address
-- SHELLEY THOMAS MPT
9751 GLORIA RD
MIDDLETON, ID 83644-5066
Phone number: 208-898-0256
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