BEAU STEPHEN LOCKMER

BOISE, ID
NPI1407421126
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-7235)
Enumeration Date2021-05-25
Last Update Date2021-05-25
Business Address
BEAU STEPHEN LOCKMER PT, DPT
1673 W SHORELINE DR STE 230
BOISE, ID 83702-6752
Phone number: 208-343-4700
Mailing Address
BEAU STEPHEN LOCKMER PT, DPT
645 E STATE ST STE 101
EAGLE, ID 83616-5915
Phone number: 208-939-9594