Individual
PATRICIA HYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1050 CLINIC RD N, CHALLIS, ID 83226-9376
(208) 879-6671
(208) 879-6680
Mailing address
PO BOX 1395, CHALLIS, ID 83226-1395
(208) 879-6671
(208) 879-6680
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT-2010
ID
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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