Organization
FOOTHILLS PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA CARNINE PT (OWNER)
(406) 531-5918
Entity
Organization
Contact information
Practice address
102 W MAIN ST, SUITE 103, EVERSON, WA 98247
(360) 966-4810
(360) 966-2884
Mailing address
PO BOX 702128, SALT LAKE CITY, UT 84170-2128
(801) 708-7867
(801) 677-1510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00009275
WA
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
07/17/2006
Last updated
11/13/2024
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