Individual
ANDREW BOYNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
943 N LINDER RD STE 104, KUNA, ID 83634-3395
(208) 922-1719
(208) 922-1721
Mailing address
1560 S CAROL ST, MERIDIAN, ID 83646-1839
(208) 288-1155
(208) 288-0424
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-5412
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT-5412
STATE LICENSE
ID
Enumeration date
02/19/2018
Last updated
02/19/2018
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