Organization
THAYN PHYSICAL THERAPY, PLLC
Active
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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