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Individual

KARL ANDREW REIERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
1435 S MAPLE GROVE RD, BOISE, ID 83709-1611
(208) 322-6200
Mailing address
10001 W IRVING ST, BOISE, ID 83704-5038
(208) 866-3973

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-8250
ID

Other

Enumeration date
08/30/2022
Last updated
03/04/2024
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