Individual
JESSE DALE NEWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5909 W STATE ST, BOISE, ID 83703-3039
(208) 343-7700
(208) 331-2591
Mailing address
5909 W STATE ST, BOISE, ID 83703-3039
(208) 343-7700
(208) 331-2591
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-5990
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA-5990
PHYSICAL THERAPIST ASSISTANT
ID
Enumeration date
04/03/2019
Last updated
11/27/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us