Organization
ACTION THERAPY, P.C.
Active
Other names
Physical Therapy of Idaho
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID S RAY PT (OWNER/PHYSICAL THERAPIST)
(208) 888-0044
Entity
Organization
Contact information
Practice address
3090 GENTRY WAY, #250, MERIDIAN, ID 83642
(208) 888-0044
(208) 888-2211
Mailing address
3090 GENTRY WAY, #250, MERIDIAN, ID 83642
(208) 888-0044
(208) 888-2211
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
ID
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806486200
—
ID
Enumeration date
05/29/2006
Last updated
08/12/2010
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