Individual
NOHE MATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4301 GARRITY BLVD STE 103, NAMPA, ID 83687-9222
(208) 463-0700
(208) 463-0700
Mailing address
1010 HOLLY ST, NAMPA, ID 83686-5825
(208) 570-0455
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-5158
ID
Other
Enumeration date
05/17/2017
Last updated
05/17/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us