Individual
CAITLYN WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
875 PERIMETER DR, MOSCOW, ID 83844-9803
(208) 885-2182
Mailing address
PO BOX 129, ATHOL, ID 83801-0129
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
65636
OR
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
06/01/2017
Last updated
11/03/2025
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