Individual
HILARY ELEANOR SNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
872 TROY RD, SUITE 180, MOSCOW, ID 83843-4046
(208) 882-1426
Mailing address
1308 EDINBOROUGH CT, MOSCOW, ID 83843-5001
(208) 301-5199
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3017
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT 3017
STATE OF IDAHO
ID
Enumeration date
05/16/2012
Last updated
05/17/2012
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