MITCHELL JOHN SMARDA

EMMETT, ID
NPI1801441761
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-6404)
Enumeration Date2019-08-07
Last Update Date2019-08-07
Business Address
MITCHELL JOHN SMARDA
809 S WASHINGTON AVE
EMMETT, ID 83617-3528
Phone number: 208-365-5341
Mailing Address
MITCHELL JOHN SMARDA
7550 W EMERALD ST
BOISE, ID 83704-9015
Phone number: 208-375-0765