Organization
TWIN FALLS PHYSICAL THERAPY AND WELLNESS CLINIC
Active
Organization
TWIN FALLS PHYSICAL THERAPY AND WELLNESS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY WILLIAMS RPT (PHYSICAL THERAPIST)
(208) 736-0887
Entity
Organization
Contact information
Practice address
812 SHOSHONE ST E, TWIN FALLS, ID 83301-6336
(208) 735-8563
Mailing address
PO BOX 1886, TWIN FALLS, ID 83303-1886
(208) 736-0887
(208) 736-0890
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010141847
REGENCE
ID
01
—
T9479
BLUE CROSS
ID
Enumeration date
08/23/2006
Last updated
08/22/2020
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