Individual
DR. BROCK EDWARD HULSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
920 DEON DR, STE D, POCATELLO, ID 83201
(208) 425-1470
(208) 425-1471
Mailing address
920 DEON DR, STE D, POCATELLO, ID 83201
(208) 425-1470
(208) 425-1471
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/15/2019
Last updated
07/25/2024
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