RANDY C SIDWELL

POCATELLO, ID
NPI1962547257
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-1535)
Enumeration Date2007-02-21
Last Update Date2012-03-15
Business Address
Mr. RANDY C SIDWELL PT, MS, ATC
333 N 18TH AVE STE D2
POCATELLO, ID 83201-3358
Phone number: 208-232-6490
Mailing Address
Mr. RANDY C SIDWELL PT, MS, ATC
333 N 18TH AVE STE D2
POCATELLO, ID 83201-3358
Phone number: 208-232-6490
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