Organization
INSPIRE PHYSICAL THERAPY IDAHO INC PS
Active
Organization
INSPIRE PHYSICAL THERAPY IDAHO INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY PROVOZNIK (VP OPERATIONS)
(360) 338-0181
Entity
Organization
Contact information
Practice address
1321 N NORTHWOOD CENTER CT STE B, COEUR D ALENE, ID 83814-4944
(208) 665-7055
(208) 665-7093
Mailing address
100 DENNIS ST SW STE B, TUMWATER, WA 98501-6523
(208) 665-7055
(208) 665-7093
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/22/2017
Last updated
08/22/2023
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