Individual
CARSON DODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4842 N CORTONA WAY STE 100, MERIDIAN, ID 83646-3171
(208) 888-8306
Mailing address
984 E IRONSIDE DR, BOISE, ID 83706-5530
(907) 631-1263
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT-8535
ID
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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