Individual
TYLER POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
16816 N MARKETPLACE BLVD, NAMPA, ID 83687-5140
(208) 461-9593
(208) 369-9272
Mailing address
7979 W RIFLEMAN ST STE 200, BOISE, ID 83704-9066
(208) 377-3850
(208) 369-9272
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-9162
ID
Other
Enumeration date
05/11/2024
Last updated
05/11/2024
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