| NPI | 1720756190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ANDREW STEIGER Owner 208-746-7573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2021-09-01 |