| NPI | 1679520191 |
|---|---|
| Doing Business As | PHYSICAL THERAPY OF IDAHO |
| Entity Type | Organization |
| Authorized Contact | DAVID S RAY Owner/Physical Therapist 208-888-0044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-05-29 |
| Last Update Date | 2010-08-12 |