Individual
DEREK JAMES WASDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
943 N LINDER RD STE 104, KUNA, ID 83634-3395
(208) 972-4612
(208) 991-1595
Mailing address
943 N LINDER RD STE 104, KUNA, ID 83634-3395
(208) 972-4612
(208) 991-1595
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9005
ID
Other
Enumeration date
05/31/2024
Last updated
07/05/2024
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