Individual
BRAD WAYNE BILLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
185 W 4TH AVE, SUITE C, POST FALLS, ID 83854-4978
(208) 777-8851
(208) 777-8851
Mailing address
185 W 4TH AVE STE C, PHYSICAL THERAPY CENTER OF POST FALLS, POST FALLS, ID 83854-4979
(208) 777-8851
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 266
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805136200
—
ID
Enumeration date
06/06/2006
Last updated
11/17/2015
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