PHYSIO SHOP IDAHO LLC

IDAHO FALLS, ID
NPI1750242889
Entity TypeOrganization
Authorized ContactTYLER L JOHNSON
Physical Therapist
208-317-1736
Organization Subpart ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2025-11-19
Last Update Date2025-11-19
Business Address
PHYSIO SHOP IDAHO LLC
2283 E 17TH ST
IDAHO FALLS, ID 83404
Phone number: 208-317-1736
Mailing Address
PHYSIO SHOP IDAHO LLC
2283 E 17TH ST
IDAHO FALLS, ID 83404
Phone number: 208-317-1736
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