Individual
AUSTIN CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
858 COMMERCE DR, SMELTERVILLE, ID 83839
(208) 784-4607
Mailing address
12103 ELLINGSWORTH LN, LOUISVILLE, KY 40243-1901
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009270
KY
Other
Enumeration date
09/26/2025
Last updated
09/26/2025
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