Organization
RATHDRUM PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS GARRETT (OWNER)
(208) 687-9240
Entity
Organization
Contact information
Practice address
14775 N KIMO CT, STE A, RATHDRUM, ID 83858-8762
(208) 687-9240
(208) 687-9241
Mailing address
14775 N KIMO CT, STE A, RATHDRUM, ID 83858-8762
(208) 687-9240
(208) 687-9241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1462
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807396800
—
ID
Enumeration date
07/23/2006
Last updated
01/21/2010
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