| NPI | 1669696910 |
|---|---|
| Doing Business As | PHYSICAL THERAPY 180 |
| Entity Type | Organization |
| Authorized Contact | CORY ALLEN MCKNIGHT Owner 208-343-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2019-01-17 |