Organization
MRC LLC
Active
Other names
Performance Physical Therapy of Idaho
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW CANDAU PT, DPT, MTC (CEO)
(208) 462-0808
Entity
Organization
Contact information
Practice address
450 W STATE ST STE 270, EAGLE, ID 83616-6974
(925) 856-7007
Mailing address
1940 S BONITO WAY STE 190, MERIDIAN, ID 83642-5618
(208) 287-9420
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/05/2018
Last updated
02/11/2026
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