Individual
MADALEN BIETER LETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9850 W ST LUKES DR, NAMPA, ID 83687-7912
(208) 505-2000
Mailing address
1002 N 6TH ST, BOISE, ID 83702-4338
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/24/2022
Last updated
07/24/2022
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