Individual
GREGORY WILLIAM HYDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
164 S 5TH ST, MONTPELIER, ID 83254-1597
(208) 847-4417
Mailing address
164 S 5TH ST, MONTPELIER, ID 83254-1597
(208) 847-4417
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-4375
ID
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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