Individual
SHELBY MCGIBNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1835 WILDWOOD ST, BOISE, ID 83713-5146
(207) 629-8644
Mailing address
2015 W EASTMAN ST, BOISE, ID 83702-3237
(207) 629-8644
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/29/2019
Last updated
11/29/2019
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