Individual
CARSON BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5255 W OVERLAND RD, BOISE, ID 83705-2637
(208) 338-9486
Mailing address
5255 W OVERLAND RD, BOISE, ID 83705-2637
(208) 338-9486
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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