NPI | 1528441300 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAWN MOEHRING Owner / Physical Therapist 208-771-2939 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: ID PT-1075) |
Enumeration Date | 2015-06-30 |
Last Update Date | 2022-08-09 |