Organization
ASPIRE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA G GUNTER MPT (OWNER)
(208) 720-3421
Entity
Organization
Contact information
Practice address
113 E BULLION ST, SUITE C, HAILEY, ID 83333-8770
(208) 720-3421
Mailing address
PO BOX 92, HAILEY, ID 83333-0092
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1204
ID
Other
Enumeration date
01/03/2013
Last updated
01/03/2013
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