| NPI | 1831527225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON R HYDE Owner/Physical Therapist 208-227-6255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT-1987) |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2013-10-22 |