| NPI | 1477573756 |
|---|---|
| Doing Business As | ADVANCED PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | CODY DEE STEPHENS Owner/President 208-452-6366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2013-05-21 |