Organization
RULIN J. HAWKS, PT, PLLC
Active
Other names
Caldwell Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RULIN J. HAWKS P.T. (OWNER)
(208) 453-9111
Entity
Organization
Contact information
Practice address
1902 S 10TH AVE, CALDWELL, ID 83605-4841
(208) 453-9111
(208) 453-9115
Mailing address
1902 S 10TH AVE, CALDWELL, ID 83605-4841
(208) 453-9111
(208) 453-9115
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT1122
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1008987
STATE INSURANCE FUND
ID
01
—
1912116682
INDIVIDUAL NPI
—
01
—
TA179
BCBS
ID
Enumeration date
03/11/2008
Last updated
03/11/2008
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