Individual
MR. LYLE D HARDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
820 ELM STREET, SANDPOINT, ID 83864
(208) 245-4576
(208) 245-2138
Mailing address
PO BOX 1082, SANDPOINT, ID 83864-0856
(208) 245-4576
(208) 245-2138
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 744
ID
Other
Enumeration date
01/25/2010
Last updated
01/25/2010
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