JUSTIN HUNTSMAN

POCATELLO, ID
NPI1376914077
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  3931)
Enumeration Date2015-10-08
Last Update Date2015-10-08
Business Address
-- JUSTIN HUNTSMAN
444 HOSPITAL WAY STE 801
POCATELLO, ID 83201-2792
Phone number: 208-232-6214
Mailing Address
-- JUSTIN HUNTSMAN
152 S 16TH PL
POCATELLO, ID 83201-4021
Phone number: 208-380-0207
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