Organization
PHYSICAL THERAPY & SPORTS MEDICINE INSTITUTE INC
Active
Organization
PHYSICAL THERAPY & SPORTS MEDICINE INSTITUTE INC
Active
Other names
PTSMI
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A WHITING PT (OWNER/PRESIDENT)
(208) 664-1119
Entity
Organization
Contact information
Practice address
850 W IRONWOOD DR, SUITE 103, COEUR D ALENE, ID 83814-4903
(208) 664-1119
(208) 765-4340
Mailing address
PO BOX 609, HAYDEN, ID 83835-0609
(208) 664-1119
(208) 765-4340
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/02/2006
Last updated
07/09/2010
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