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5865 W Hidden Springs Dr, Boise, ID 83714-9464 | |
(208) 921-2591 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 5865 W Hidden Springs Dr, Boise, Idaho |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1184297111 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Provider Name | Mark L Moss |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1891050068 PECOS PAC ID: 0345490165 Enrollment ID: I20121031000700 |
Provider Name | Sarah H Stuhr |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1851604045 PECOS PAC ID: 0648451252 Enrollment ID: I20210201001701 |
Provider Name | Mariah Kay Boyd |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1942754981 PECOS PAC ID: 4082981808 Enrollment ID: I20230929002525 |
Mailing Address | Practice Location Address |
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1066 E Tuttle St, Meridian, ID 83646-5978 Ph: (208) 921-5114 | 5865 W Hidden Springs Dr, Boise, ID 83714-9464 Ph: (208) 921-2591 |