Organization
MOSS PHYSICAL THERAPY LLC
Active
Other names
Hidden Springs Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LEE MOSS PT (OWNER)
(208) 921-2591
Entity
Organization
Contact information
Practice address
5865 W HIDDEN SPRINGS DR, BOISE, ID 83714-9464
(208) 921-2591
Mailing address
1066 E TUTTLE ST, MERIDIAN, ID 83646-5978
(208) 921-5114
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/19/2021
Last updated
11/20/2024
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