Organization
GOOD LIFE PHYSICAL THERAPY PLLC
Active
Organization
GOOD LIFE PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMA NELSON PT, DPT (PHYSICAL THERAPIST)
(208) 739-5145
Entity
Organization
Contact information
Practice address
804 N WHITLEY DR, FRUITLAND, ID 83619-2437
(208) 740-3549
Mailing address
1919 3RD AVE S, PAYETTE, ID 83661-3011
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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