RUSSELL TAYLOR FARNSWORTH

CHUBBUCK, ID
NPI1528503083
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WA  PT60684082)
Enumeration Date2016-12-19
Last Update Date2022-05-11
Business Address
RUSSELL TAYLOR FARNSWORTH DPT
265 E CHUBBUCK RD STE A
CHUBBUCK, ID 83202-2085
Phone number: 208-417-0011
Mailing Address
RUSSELL TAYLOR FARNSWORTH DPT
265 E CHUBBUCK RD STE A
CHUBBUCK, ID 83202-2085
Phone number: 208-417-0011
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