NPI | 1831972561 |
---|---|
Entity Type | Organization |
Authorized Contact | NATHAN HUNSAKER Clinic Director/Owner 208-534-7001 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
Enumeration Date | 2023-08-16 |
Last Update Date | 2023-08-16 |