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Organization

PICK PT NAMPA PHYSICAL THERAPY

Active
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Organization

PICK PT NAMPA PHYSICAL THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MACKENZIE JACOBSON (CREDENTIALING)
(509) 690-0859
Entity
Organization

Contact information

Practice address
2422 12TH AVE RD, NAMPA, ID 83686-6300
(208) 466-0566
(208) 697-5213
Mailing address
2422 12TH AVE RD, NAMPA, ID 83686-6300

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
06/18/2026
Last updated
06/18/2026
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