Organization
CURRENT PHYSICAL THERAPY MERIDIAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS COLE HARTLEY DPT (MEMBER)
(541) 212-0337
Entity
Organization
Contact information
Practice address
1020 N. HICKORY AVE UNIT 3 STE 115, MERIDIAN, ID 83642
(208) 314-4988
(208) 296-7921
Mailing address
119 S. VALLEY DR. STE A #178, NAMPA, ID 83686
(208) 800-1619
(208) 296-7921
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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