COOPER BAUMGARDT

LEWISTON, ID
NPI1740150234
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2025-11-10
Last Update Date2025-11-10
Business Address
COOPER BAUMGARDT
419 22ND AVE
LEWISTON, ID 83501-3812
Phone number: 208-816-6078
Mailing Address
COOPER BAUMGARDT
419 22ND AVE
LEWISTON, ID 83501-3812
Phone number: 208-816-6078