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1518560671
IDAHO DIRECT PHYSICAL THERAPY, PLLC
IDAHO FALLS, ID
NPI
1518560671
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Entity Type
Organization
Authorized Contact
TYLER J BURKE
Owner
815-545-3996
Organization Subpart ?
No
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
Enumeration Date
2020-11-19
Last Update Date
2020-11-19
Business Address
IDAHO DIRECT PHYSICAL THERAPY, PLLC
1559 N STEVENS DR APT B
IDAHO FALLS, ID 83401-3947
Phone number: 815-545-3996
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Mailing Address
IDAHO DIRECT PHYSICAL THERAPY, PLLC
1559 N STEVENS DR APT B
IDAHO FALLS, ID 83401-3947
Phone number: 815-545-3996
Copy
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