Individual
JOSEPH JANNUZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT, SCS
Contact information
Practice address
2294 S RIVA RIDGE AVE, BOISE, ID 83709-2507
(208) 949-0568
Mailing address
2294 S RIVA RIDGE AVE, BOISE, ID 83709-2507
(208) 949-0568
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251S0007X
Sports Physical Therapist
PT-3152
ID
2251X0800X
Orthopedic Physical Therapist
PT-3152
ID
Other
Enumeration date
05/07/2013
Last updated
07/24/2021
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