Individual
MR. DOUGLAS A HOULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
2009 S MAIN ST, MOSCOW, ID 83843-8913
(208) 882-1426
Mailing address
2009 S MAIN ST, MOSCOW, ID 83843-8913
(208) 882-1426
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7465
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
48206849
—
CO
Enumeration date
03/29/2006
Last updated
08/28/2023
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