| NPI | 1801812482 |
|---|---|
| Doing Business As | HAYDEN LAKE PHYSICAL THERAPY AND AQUATICS |
| Entity Type | Organization |
| Authorized Contact | DIRK ANTHONY BAIRD Owner 208-667-6264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-03-10 |