ETHAN RAYHORN

BOISE, ID
NPI1831592963
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-3704)
Enumeration Date2014-10-03
Last Update Date2014-10-03
Business Address
-- ETHAN RAYHORN DPT
1501A E SHENANDOAH DR.
BOISE, ID 83712-6660
Phone number: 906-362-5002
Mailing Address
-- ETHAN RAYHORN DPT
1501A E SHENANDOAH DR
BOISE, ID 83712-6660
Phone number: 906-362-5002
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