Individual
NICOLE BAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1441 PARKWAY DR, BLACKFOOT, ID 83221-1667
(208) 680-6513
(208) 980-7241
Mailing address
PO BOX 306, BLACKFOOT, ID 83221-0306
(208) 785-8018
(208) 785-3332
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
ID
Other
Enumeration date
05/17/2018
Last updated
10/18/2021
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