RICHARD LEE

IDAHO FALLS, ID
NPI1790354819
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  PTA-7321)
Enumeration Date2021-06-22
Last Update Date2021-06-22
Business Address
RICHARD LEE
4000 S 25TH E
IDAHO FALLS, ID 83404-7524
Phone number: 208-547-5796
Mailing Address
RICHARD LEE
4000 S 25TH E
IDAHO FALLS, ID 83404-7524
Phone number: