Individual
SHAE STRUHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
725 JENSEN GROVE DR, SUITE 5, BLACKFOOT, ID 83221-1636
(208) 785-9917
(208) 785-9385
Mailing address
3750 FOUNDERS POINTE DR, AMMON, ID 83406-5092
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT-4590
ID
Other
Enumeration date
11/15/2016
Last updated
11/16/2016
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