| NPI | 1518705441 |
|---|---|
| Doing Business As | PALISADE PHYSICAL THERAPY & WELLNESS SERVICES |
| Entity Type | Organization |
| Authorized Contact | BRYANT GARDNER D PT 208-227-3254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2024-07-16 |
| Last Update Date | 2026-05-05 |