Individual
CODY WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
801 POLE LINE, TWIN FALLS, ID 83301
(208) 814-2570
Mailing address
2424 INDEPENDENCE ST., TWIN FALLS, ID 83301
(801) 696-6171
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2869
ID
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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