Organization
SOUTHERN IDAHO THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELAINE FORD (OFFICE MANAGER)
(208) 644-6474
Entity
Organization
Contact information
Practice address
1224 8TH ST STE A, RUPERT, ID 83350-1527
(208) 436-9016
(208) 436-4922
Mailing address
228 E 100 S, JEROME, ID 83338-6306
(208) 644-6474
(208) 644-6475
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/27/2006
Last updated
11/02/2011
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