Individual
TRACY ERROL MOBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
151 E MAIN ST, RIGBY, ID 83442-1417
(208) 745-8332
(208) 745-8272
Mailing address
151 E MAIN ST, RIGBY, ID 83442-1417
(208) 745-8332
(208) 745-8272
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
RPT895
ID
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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