Organization
62 DEGREES PHYSICAL THERAPY
Active
Organization
62 DEGREES PHYSICAL THERAPY
Active
Other names
Myofascial Release Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATRIN HURLEY MOFFETT PT, DPT, CWS, FACCWS (OWNER/MEMBER)
(208) 321-7831
Entity
Organization
Contact information
Practice address
8660 W EMERALD ST, BOISE, ID 83704-4825
(208) 321-7831
(208) 995-2870
Mailing address
8660 W EMERALD ST, BOISE, ID 83704-4825
(208) 321-7831
(208) 995-2870
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT632
ID
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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