Individual
LISA M. SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT949
Contact information
Practice address
1188 W UNIVERSITY DR STE 230, BOISE, ID 83706-3009
(208) 336-8250
(208) 345-9514
Mailing address
1188 W UNIVERSITY DR, BOISE, ID 83706-3009
(208) 336-8250
(208) 345-9514
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT949
ID
Other
Enumeration date
11/09/2006
Last updated
11/10/2025
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