Individual
MR. MICHAEL F WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
328 WARNER DR, STE 8, LEWISTON, ID 83501-4441
(208) 746-7573
(208) 746-4519
Mailing address
328 WARNER DR, STE 8, LEWISTON, ID 83501-4441
(208) 746-7573
(208) 746-4519
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT00003201
WA
225100000X
Physical Therapist
Primary
PT352
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002711600
—
ID
Enumeration date
06/14/2006
Last updated
06/29/2010
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