HAWKEN KWAYD WADSWORTH

TWIN FALLS, ID
NPI1588457071
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  9171263)
Enumeration Date2025-05-27
Last Update Date2025-05-27
Business Address
HAWKEN KWAYD WADSWORTH DPT
1053 EASTLAND DR
TWIN FALLS, ID 83301-6747
Phone number: 208-736-9011
Mailing Address
HAWKEN KWAYD WADSWORTH DPT
2045 RIVERCREST DR APT 304
TWIN FALLS, ID 83301-3089
Phone number: 208-650-2787