Organization
HIGH DESERT PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED CLIFFORD PUGMIRE DPT (OWNER/PHYSICAL THERAPIST)
(208) 240-6017
Entity
Organization
Contact information
Practice address
820 W. CHUBBUCK RD, CHUBBUCK, ID 83202-2933
(208) 240-6017
Mailing address
820 W. CHUBBUCK RD, CHUBBUCK, ID 83202-2933
(208) 240-6017
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5310
ID
Other
Enumeration date
07/26/2017
Last updated
06/07/2022
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