Individual
DR. MICHAEL WILLIAM SPRAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1411 FALLS AVE E, SUITE 105, TWIN FALLS, ID 83301-3455
(208) 736-2574
(208) 736-2594
Mailing address
1411 FALLS AVE E, SUITE 105, TWIN FALLS, ID 83301-3455
(208) 736-2574
(208) 736-2594
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1202581
TX
Other
Enumeration date
01/26/2011
Last updated
05/05/2011
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