| NPI | 1639365323 |
|---|---|
| Doing Business As | IDAHO SPINE & SPORTS PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | ROBERT BRET ADAMS Owner / Physical Therapist 208-939-0533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID 1208) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ID 928) |
| 235Z00000X Speech-Language Pathologist, (Licence: ID 1455) | |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2018-12-29 |