Individual
JACKSON ROGER BINDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Mailing address
713 E ADDESON ST, MERIDIAN, ID 83646-4455
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-8507
ID
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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