Individual
ADAM L TRUSCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
405 7TH STREET, SILVERTON, ID 83867
(208) 556-1147
Mailing address
106 S HARBOR PARK CT, POST FALLS, ID 83854-7772
(208) 512-1009
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-3041
ID
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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