Individual
MS. LINDA HAMMANN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS, PT, SCS, ATC
Contact information
Practice address
1188 UNIVERSITY DR, BOISE, ID 83706-3009
(208) 336-8250
(208) 336-8250
Mailing address
1188 UNIVERSITY DR, BOISE, ID 83706-3009
(208) 336-8250
(208) 336-8250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
RPT356
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010008547
REGENCE BLUE SHIELD OF ID
ID
01
—
T1021
BLUE CROSS OF IDAHO #
ID
Enumeration date
06/27/2005
Last updated
07/09/2007
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