Individual
CLINTON CHOQUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8 6TH ST N STE 102, NAMPA, ID 83687-5016
(406) 560-1048
Mailing address
8 6TH ST N STE 102, NAMPA, ID 83687-5016
(406) 560-1048
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTP-PT-LIC-11118
MT
Other
Enumeration date
08/03/2016
Last updated
03/13/2025
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