Individual
MICHAEL JAY YORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
(801) 358-7658
Mailing address
2295 S MONITOR WAY, BOISE, ID 83709-8022
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-5778
ID
Other
Enumeration date
06/10/2018
Last updated
06/10/2018
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