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Individual

DANIEL N STREUBEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MPT

Contact information

Practice address
285 E LITTLE AVE, DRIGGS, ID 83422-5137
(208) 354-1999
(866) 875-1249
Mailing address
1479 TABLE ROCK DR, DRIGGS, ID 83422-5292
(208) 354-1999
(208) 354-1999

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
RPT937
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010159590
BLUE SHIELD IDAHO
ID
05
004405500
ID
01
TD563
BLUE CROSS IDAHO
ID
Enumeration date
03/06/2007
Last updated
09/17/2020
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