Organization
LIFESTYLES THERAPY & WELLNESS CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
M. ANDREW MIX RPT (PRESIDENT)
(208) 735-8563
Entity
Organization
Contact information
Practice address
276 EASTLAND DR N, TWIN FALLS, ID 83301-4458
(208) 735-8563
(208) 735-8564
Mailing address
276 EASTLAND DR N, TWIN FALLS, ID 83301-4458
(208) 735-8563
(208) 735-8564
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1352
ID
Other
Enumeration date
03/25/2008
Last updated
05/17/2023
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