| NPI | 1750957320 |
|---|---|
| Doing Business As | IDAHO PHYSIO |
| Entity Type | Organization |
| Authorized Contact | MICHAEL CUTHBERTSON Physical Therapist 208-970-1810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2021-06-03 |