AMMON BENJAMIN BIRK

KIMBERLY, ID
NPI1851889182
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-4245)
Enumeration Date2018-04-23
Last Update Date2018-06-23
Business Address
AMMON BENJAMIN BIRK DPT
940 BALLARD WAY
KIMBERLY, ID 83341
Phone number: 801-874-0479
Mailing Address
AMMON BENJAMIN BIRK DPT
940 BALLARD WAY
KIMBERLY, ID 83341-5162
Phone number: 801-874-0479