Full Name | |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 619 4th St, Kamiah, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932333994 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Po Box 95, Kamiah, ID 83536-0095 Ph: (208) 935-0367 | 619 4th St, Kamiah, ID 83636 Ph: (208) 935-0367 |