NICHOLAS P GREENWELL

BURLEY, ID
NPI1669530119
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-1359)
Enumeration Date2006-12-05
Last Update Date2016-02-10
Business Address
Mr. NICHOLAS P GREENWELL MPT
1263 BENNETT AVE SUITE 2
BURLEY, ID 83318-2666
Phone number: 208-678-1191
Mailing Address
Mr. NICHOLAS P GREENWELL MPT
1263 BENNETT AVE STE 2
BURLEY, ID 83318-4906
Phone number: 208-678-1191