Organization
ACTION THERAPY
Active
Other names
Idaho Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID S RAY MPT (OWNER)
(208) 888-0044
Entity
Organization
Contact information
Practice address
1175 E PARKCENTER BLVD, STE 101, BOISE, ID 83706-6751
(208) 367-1010
Mailing address
3090 E GENTRY WAY, STE 250, MERIDIAN, ID 83642-3501
(208) 888-0044
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
ID
Other
Enumeration date
05/30/2006
Last updated
08/22/2020
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