Individual
COLLIN REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1520 W STATE ST, SUITE 210, BOISE, ID 83702-4085
(208) 336-8433
(208) 336-8441
Mailing address
16083 SW UPPER BOONES FERRY RD, SUITE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4543
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124477716
—
ID
Enumeration date
06/06/2016
Last updated
08/10/2016
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