TRAVIS BLAKE CRAIG

CALDWELL, ID
NPI1699019133
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-2096)
Enumeration Date2012-11-21
Last Update Date2012-11-21
Business Address
-- TRAVIS BLAKE CRAIG DPT
25305 ARROYO CT
CALDWELL, ID 83607-7916
Phone number: 208-863-1618
Mailing Address
-- TRAVIS BLAKE CRAIG DPT
25305 ARROYO CT
CALDWELL, ID 83607-7916
Phone number: 208-863-1618
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