Individual
RYAN WARBURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2999 N LAKESHORE LANE, STE 120, BOISE, ID 83703
(208) 853-1098
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3486
ID
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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