Individual
TESS BRACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 706-5437
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 706-5437
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT8214
ID
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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