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Organization

RECOVER PHYSICAL THERAPY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BLAINE ERICKSON HAWKES DPT (DPT, CEO)
(801) 602-4579
Entity
Organization

Contact information

Practice address
50 S HIGHWAY 93, SHOSHONE, ID 83352-5337
(208) 969-9956
Mailing address
469 PARK TERRACE DR, TWIN FALLS, ID 83301-3211
(801) 602-4579

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
05/24/2019
Last updated
05/24/2019
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