MICHAEL DAVIS

IDAHO FALLS, ID
NPI1629582002
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-4771)
Enumeration Date2017-11-21
Last Update Date2017-11-21
Business Address
MICHAEL DAVIS
2093 IRENE LN
IDAHO FALLS, ID 83404-7167
Phone number: 870-759-0424
Mailing Address
MICHAEL DAVIS
2093 IRENE LN
IDAHO FALLS, ID 83404-7167
Phone number: 870-759-0424
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