Organization
PROGRESSIVE THERAPY PC
Active
Organization
PROGRESSIVE THERAPY PC
Active
Other names
Idaho Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID RAY PT (OWNER)
(208) 454-0505
Entity
Organization
Contact information
Practice address
206 E ELM ST, CALDWELL, ID 83605-4815
(208) 454-0505
(208) 454-0559
Mailing address
206 E ELM ST, CALDWELL, ID 83605-4815
(208) 454-0505
(208) 454-0559
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
ID
Other
Enumeration date
01/24/2007
Last updated
07/21/2022
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