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Individual

ALISON THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
150 126TH ST, OROFINO, ID 83544-9386
(208) 476-7105
(208) 476-7233
Mailing address
1519 132ND ST SE, SUITE A, EVERETT, WA 98208-7203
(425) 330-0633
(425) 338-9637

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010027518
REGENCE BLUE SHIELD OF ID
ID
01
0129414
LABOR & INDUSTRY
ID
01
650021544
RAILROAD MEDICARE
ID
01
7767492
AETNA
ID
05
805249100
ID
05
807710200
ID
01
911745305-83544-A005
TRICARE
WA
01
T4751
BLUE CROSS OF IDAHO
ID
Enumeration date
06/01/2006
Last updated
01/25/2012
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