Individual
CALEB JEROME FOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
8382 N WAYNE DR STE 100, HAYDEN, ID 83835
(208) 758-0484
(208) 485-4781
Mailing address
8382 N WAYNE DR STE 100, HAYDEN, ID 83835-6028
(208) 758-0484
(208) 485-4781
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/26/2013
Last updated
05/31/2018
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