Organization
IDAHO PHYSICAL THERAPY INC.
Active
Organization
IDAHO PHYSICAL THERAPY INC.
Active
Other names
Idaho PT Inc
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLIE MCCARTHY (VP ADMINISTRATION)
(208) 314-5904
Entity
Organization
Contact information
Practice address
2005 12TH AVE RD, NAMPA, ID 83686-6311
(208) 463-0022
(208) 463-0031
Mailing address
2005 12TH AVE RD, NAMPA, ID 83686-6311
(208) 463-0022
(208) 463-0031
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002689100
—
ID
Enumeration date
01/24/2007
Last updated
12/14/2022
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