Organization
THAYN PHYSICAL THERAPY, PLLC
Active
Other names
Thayn Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ZHOHNANN KATHLEEN PIVA THAYN D.P.T (PHYSICAL THERAPIST)
(208) 859-9570
Entity
Organization
Contact information
Practice address
510 NORTH HIGHWAY 93, CHALLIS, ID 83226
(208) 859-9570
Mailing address
PO BOX 707, CHALLIS, ID 83226-0707
(208) 859-9570
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 2402
ID
261QP2000X
Physical Therapy Clinic/Center
PT 2402
ID
Other
Enumeration date
08/09/2012
Last updated
08/30/2012
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