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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