JASON RAY HYDE

BLACKFOOT, ID
NPI1700102662
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-1987)
Enumeration Date2010-04-15
Last Update Date2013-03-21
Business Address
-- JASON RAY HYDE MPT
725 JENSEN GROVE DR SUITE 4
BLACKFOOT, ID 83221-1636
Phone number: 208-227-6255
Mailing Address
-- JASON RAY HYDE MPT
PO BOX 730
BLACKFOOT, ID 83221-0730
Phone number: 208-227-6255
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