Individual
SHELLEY MCCARTHY CORRIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3111 CHANNING WAY, IDAHO FALLS, ID 83404-7534
(208) 529-0067
Mailing address
1607 BLUE CAMAS CT, IDAHO FALLS, ID 83402-3862
(208) 589-9733
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-770
ID
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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