Individual
BEAU DOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, OCS, CSCS
Contact information
Practice address
109 13TH AVE S, NAMPA, ID 83651-3904
(209) 995-6671
Mailing address
17415 N FLAGSTAFF WAY, NAMPA, ID 83687-5495
(608) 558-3657
(208) 473-7313
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
PT-4218
ID
261QP2000X
Physical Therapy Clinic/Center
Primary
PT-4218
ID
Other
Enumeration date
06/16/2015
Last updated
04/16/2021
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