KOLTEN D GLIDER

SHELLEY, ID
NPI1861184392
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  8634)
Enumeration Date2023-05-23
Last Update Date2023-05-23
Business Address
KOLTEN D GLIDER DPT
299 ANDERSON RD
SHELLEY, ID 83274-4927
Phone number: 208-782-4744
Mailing Address
KOLTEN D GLIDER DPT
1411 FALLS AVE E STE 401
TWIN FALLS, ID 83301-3455
Phone number: 208-969-9945
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