Individual
MR. STEVEN MERRILL BASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
130 S MIDLAND BLVD, NAMPA, ID 83686-2601
(208) 461-5057
(208) 461-5210
Mailing address
1906 FAIRVIEW AVE, STE 410, CALDWELL, ID 83605-5407
(208) 454-9839
(208) 454-0727
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2932
ID
Other
Enumeration date
07/17/2009
Last updated
12/06/2016
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