Organization
MIDDLETON PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC PATTEN GROW MPT (OWNER/PHYSICAL THERAPIST)
(208) 850-8295
Entity
Organization
Contact information
Practice address
1020 W MAIN ST, MIDDLETON, ID 83644-5270
(208) 585-3932
(208) 565-2218
Mailing address
1020 W MAIN ST, MIDDLETON, ID 83644-5270
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/05/2019
Last updated
03/17/2020
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