Organization
IDAHO SPINE AND SPORTS PHYSICAL THERAPY - SILVERSTONE
Active
Parent organization
IDAHO SPINE & SPORTS PHYSICAL THERAPY
Organization subpart
Yes
Provider details
NPI number
Legal business name
IDAHO SPINE & SPORTS PHYSICAL THERAPY
Authorized official
ROBERT BRET ADAMS PT (OWNER/PARTNER)
(208) 939-0533
Entity
Organization
Contact information
Practice address
2316 S EAGLE RD, MERIDIAN, ID 83642-2665
(208) 286-2707
(208) 286-2743
Mailing address
2316 S EAGLE RD, MERIDIAN, ID 83642-2665
(208) 286-2707
(208) 286-2743
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2983
ID
Other
Enumeration date
05/05/2017
Last updated
05/05/2017
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