Organization
SUN VALLEY SPORTS REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN COYNE (PRESIDENT, OWNER)
(208) 726-7246
Entity
Organization
Contact information
Practice address
245 RAVEN RD, KETCHUM, ID 83340
(208) 726-7246
(208) 726-8911
Mailing address
PO BOX 2062, KETCHUM, ID 83340-2062
(208) 726-7246
(208) 726-8911
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
PT-332
ID
Other
Enumeration date
01/10/2007
Last updated
06/26/2012
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