Individual
JILLIENNE BRAUCHER SELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1917 N LAKEWOOD DR, COEUR D ALENE, ID 83814-2634
(208) 664-8194
Mailing address
1917 N LAKEWOOD DR, COEUR D ALENE, ID 83814-2634
(208) 664-8194
(208) 667-1847
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PENDING
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
PHYSICAL THERAPY
ID
01
—
PENDING
PHYSICAL THERAPY
WA
Enumeration date
06/02/2020
Last updated
02/26/2024
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