Individual
CHAD SPENCER NEUBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
450 W STATE ST STE 270, EAGLE, ID 83616-6974
(208) 462-0808
(208) 516-4488
Mailing address
1940 S BONITO WAY STE 190, MERIDIAN, ID 83642-5618
(208) 287-9420
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-6738
ID
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
Other
Enumeration date
12/23/2013
Last updated
02/22/2023
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