Organization
PHYSICAL THERAPY CENTERS OF IDAHO
Active
Other names
Idaho Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID RAY MSPT, ATC, CSCS (OWNER)
(208) 377-5005
Entity
Organization
Contact information
Practice address
8854 W EMERALD ST, SUITE 280, BOISE, ID 83704-4844
(208) 377-5005
(208) 377-8484
Mailing address
8854 W EMERALD ST, SUITE 280, BOISE, ID 83704-4844
(208) 377-5005
(208) 377-8484
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
ID
Other
Enumeration date
01/24/2007
Last updated
07/21/2022
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