| 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 |