Individual
NATASHA DAVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 2072, EAGLE, ID 83616-9111
(208) 477-7363
Mailing address
64 S STAR RD STE 2, STAR, ID 83669-5497
(208) 488-4250
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-6403
ID
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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