Individual
TRISTAN THORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3090 E GENTRY WAY, STE 250, MERIDIAN, ID 83642-3501
(208) 888-0044
Mailing address
3090 E GENTRY WAY, STE 250, MERIDIAN, ID 83642-3501
(208) 888-0044
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1975
ID
Other
Enumeration date
06/24/2006
Last updated
07/08/2007
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