Individual
MICHAEL ANDREW WREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, PT
Contact information
Practice address
1444 FALLS AVE E, TWIN FALLS, ID 83301-3408
(208) 736-2574
(208) 736-2594
Mailing address
1444 FALLS AVE E STE 401, TWIN FALLS, ID 83301-3408
(208) 736-2574
(208) 736-2594
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT9163
ID
Other
Enumeration date
05/03/2024
Last updated
05/07/2024
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