AUSTIN STURDIVANT

BOISE, ID
NPI1912518275
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2020-08-11
Last Update Date2020-08-11
Business Address
AUSTIN STURDIVANT PT, DPT
7711 W RIVERSIDE DR
BOISE, ID 83714-6182
Phone number: 208-813-9544
Mailing Address
AUSTIN STURDIVANT PT, DPT
1411 FALLS AVE E STE 401
TWIN FALLS, ID 83301-3455
Phone number: 208-969-9945