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Individual

JAMES TANGREDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1610 E SCHNEIDMILLER AVE, POST FALLS, ID 83854-7065
(208) 773-8111
Mailing address
1917 N LAKEWOOD DR, COEUR D ALENE, ID 83814-2634
(208) 262-4161

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4371094
ID
225100000X
Physical Therapist
Primary
60471073
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0329720
WA L&I
WA
05
2038917
WA
01
P01429234
RR MEDICARE PTAN
WA
Enumeration date
08/13/2014
Last updated
04/13/2026
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