| NPI | 1679810832 |
|---|---|
| Doing Business As | EASTERN IDAHO PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | TODD RITCHIE ANDERSON Owner 208-690-9757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT-1288) |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2013-05-22 |