JERROD ACKERMAN

BOISE, ID
NPI1487067005
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-3702)
Enumeration Date2014-06-11
Last Update Date2014-12-15
Business Address
-- JERROD ACKERMAN
390 E PARKCENTER BLVD STE. 130
BOISE, ID 83706-6662
Phone number: 208-433-9211
Mailing Address
-- JERROD ACKERMAN
16083 SW UPPER BOONES FERRY RD STE. 300
TIGARD, OR 97224-7736
Phone number: 800-219-8835
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