Individual
NATHAN SVENDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
701 LEWISTON ST, COTTONWOOD, ID 83522-9750
(208) 962-3251
Mailing address
1411 SCOTT ST, GRANGEVILLE, ID 83530-2157
(605) 670-8788
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-7623
ID
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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