| NPI | 1598305922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBEKAH ELIZABETH GUY Owner 208-342-2104 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2024-02-14 |