| NPI | 1609196062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA RUST Owner/Therapist 208-265-0610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID RPT-1097) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2010-06-09 |