Organization
MOUNTAIN INTEGRATED THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS COX (OWNER)
(208) 604-1375
Entity
Organization
Contact information
Practice address
8 S STATE ST, PRESTON, ID 83263-1243
(208) 604-1375
Mailing address
8 S STATE ST, PRESTON, ID 83263-1243
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-480
ID
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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