DANIEL STARK RUSSON

KIMBERLY, ID
NPI1962242669
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-9150)
Enumeration Date2024-05-29
Last Update Date2025-06-24
Business Address
DANIEL STARK RUSSON DPT, PT
931 CENTER ST W STE C
KIMBERLY, ID 83341-5326
Phone number: 208-423-9999
Mailing Address
DANIEL STARK RUSSON DPT, PT
1411 FALLS AVE E STE 401
TWIN FALLS, ID 83301-3455
Phone number: 208-423-9999
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