Individual
MR. GARY L. HOOPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
275 E 7TH ST, WEISER, ID 83672-2303
(208) 549-1008
(208) 549-1396
Mailing address
275 E 7TH ST, WEISER, ID 83672-2303
(208) 549-1008
(208) 549-1396
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
RPT-1123
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
804093200
—
ID
Enumeration date
01/03/2006
Last updated
07/08/2007
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