Individual
MR. BRUCE J. WALLENTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
900 LANARK RD, OVID, ID 83254-4934
(208) 945-2900
(208) 945-2900
Mailing address
900 LANARK RD, OVID, ID 83254-4934
(208) 945-2900
(208) 945-2900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
362968-2401
UT
225100000X
Physical Therapist
PT-389
WY
225100000X
Physical Therapist
Primary
PT-593
ID
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us