Individual
JORID HALSNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PT
Contact information
Practice address
180 S MAIN ST, DRIGGS, ID 83422-5034
(208) 354-3128
Mailing address
788 TONYA RD, VICTOR, ID 83455-4829
(970) 734-5229
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-6998
ID
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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