Individual
DAVID B ANDREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1101 E POLSTON AVE, SUITE A, POST FALLS, ID 83854-6045
(208) 773-8111
(208) 773-8385
Mailing address
1917 N LAKEWOOD DR, COEUR D ALENE, ID 83814-2634
(208) 664-8194
(208) 667-1847
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1049
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356361406
—
WA
05
—
1356361406-000
—
ID
05
—
804123800
—
ID
Enumeration date
07/20/2006
Last updated
08/07/2012
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