# DR. JOSHUA GLEN WOOLSTENHULME

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1508619347
- **Gender:** Man
- **Credential:** PT, DPT, PHD, LAMFT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | LAMFT-9985 | ID | Yes |
| 225100000X | Physical Therapist | PT-2303 | ID | — |

## Other

- **Enumeration date:** 04/10/2024
- **Last updated:** 04/10/2024