Individual
ANASTASIA PEARL REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, CSCS
Contact information
Practice address
2619 W FAIRVIEW AVE, BOISE, ID 83702-6722
(208) 706-2676
Mailing address
225 S LINDER RD APT O201, EAGLE, ID 83616-4495
(602) 615-7940
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9171465
ID
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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