| NPI | 1861244253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY M HAMPTON Owner, Physical Therapist 208-290-2984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-04-01 |