Organization
RUPP PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RUPP DPT (OWNER)
(208) 530-1779
Entity
Organization
Contact information
Practice address
120 N BRIDGE ST, SAINT ANTHONY, ID 83445-1414
(208) 530-1779
Mailing address
120 N BRIDGE ST, SAINT ANTHONY, ID 83445-1414
(208) 530-1779
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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