Organization
PRO MOTION PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAVIN MCEACHERN MORRISON PT (OWNER)
(208) 336-1042
Entity
Organization
Contact information
Practice address
3040 N FIVE MILE RD, BOISE, ID 83713-5234
(208) 336-1042
Mailing address
4725 SAMARA ST, BOISE, ID 83703-3642
(208) 336-1042
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
09/16/2006
Last updated
08/22/2020
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