Individual
MAIYA HAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
136 W MAIN ST, REXBURG, ID 83440-1827
(208) 417-0900
Mailing address
267 W 3RD S BSMT, REXBURG, ID 83440-2137
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
ID
Other
Enumeration date
01/18/2025
Last updated
01/18/2025
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