Individual
ALICIA G SIDDOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
1 PROFESSIONAL PLZ, REXBURG, ID 83440-2024
(208) 359-2500
(208) 359-2502
Mailing address
1 PROFESSIONAL PLZ, REXBURG, ID 83440-2024
(208) 359-2500
(208) 359-2502
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT437
ID
Other
Enumeration date
04/24/2008
Last updated
08/24/2016
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