Individual
EMILY MORGAN MARRIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36 WINN DR STE 100, REXBURG, ID 83440-5277
(208) 356-0174
(208) 356-0176
Mailing address
66 S 1ST W, REXBURG, ID 83440-1815
(253) 508-9472
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-4834
ID
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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