Individual
REX WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
230 WEST MALLARD DR, STE A, BOISE, ID 83706
(208) 422-9826
(208) 422-9855
Mailing address
PO BOX 711185, SALT LAKE CITY, UT 84171
(801) 942-3311
(801) 942-5955
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT496
ID
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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