Individual
ROB BLEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1915 N 33RD ST, BOISE, ID 83703-5815
(208) 343-0359
Mailing address
1915 N 33RD ST, BOISE, ID 83703-5815
(208) 343-0359
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-436
ID
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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