| NPI | 1548489735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN LANNIE CHECKETTS CFO 208-367-7347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID 2) |
| Additional Taxonomies | 225800000X Recreation Therapist (Licence: ID 2) |
| 225X00000X Occupational Therapist (Licence: ID 2) | |
| 2278P1005X Respiratory Therapist, Certified, Pulmonary Rehabilitation (Licence: ID 2) | |
| 1041C0700X Social Worker, Clinical (Licence: ID 2) | |
| 235Z00000X Speech-Language Pathologist, (Licence: ID 2) | |
| 111NR0400X (Licence: ID 2) | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2023-01-24 |