Individual
JOHN SILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 E PINE ST, CALDWELL, ID 83605-4836
(208) 454-5142
Mailing address
555 E 12TH ST TRLR 2, WEISER, ID 83672-2473
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-8603
ID
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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