Individual
SHAWNA BLUEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 IRONWOOD PL, COEUR D ALENE, ID 83814-2610
(208) 667-6486
(208) 676-8276
Mailing address
2200 IRONWOOD PL, COEUR D ALENE, ID 83814-2610
(208) 667-6486
(208) 676-8276
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-202
ID
Other
Enumeration date
02/19/2015
Last updated
02/19/2015
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