Organization
PHYSICAL THERAPY CLINIC,INC.
Active
Other names
River of No Return Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ZHOHNANN THAYN P.T. (OWNER/PHYSICAL THERAPIST)
(208) 756-2005
Entity
Organization
Contact information
Practice address
802 SHOUP STREET, SALMON, ID 83467
(208) 756-2005
(208) 756-4020
Mailing address
PO BOX 1107, SALMON, ID 83467-1107
(208) 756-2005
(208) 756-4020
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT 92
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20002413
MEDICARE PTAN
ID
Enumeration date
08/14/2012
Last updated
10/21/2016
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