Individual
ELEANORE SHUMATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6560 W EMERALD ST STE 122, BOISE, ID 83704-8781
(208) 322-4344
(208) 322-4644
Mailing address
520 VILLAGE LN, BOISE, ID 83702-6235
(208) 322-4344
(208) 322-4644
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2173
ID
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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