| NPI | 1477608834 |
|---|---|
| Doing Business As | IDAHO PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | DAVID RAY Owner 208-454-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2022-07-21 |