Individual
SETH ROBERT CHAMPLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3035 W MCMILLAN RD STE 104, MERIDIAN, ID 83646-6292
(208) 887-8684
Mailing address
3850 N 3300 E, KIMBERLY, ID 83341-5051
(208) 539-2350
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-6711
ID
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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