Organization
TAP THERAPIES LLC
Active
Organization
TAP THERAPIES LLC
Active
Other names
Eastern Idaho Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD RITCHIE ANDERSON DPT (OWNER)
(208) 690-9757
Entity
Organization
Contact information
Practice address
180 N BROADWAY ST, BLACKFOOT, ID 83221-2203
(208) 785-0628
(208) 785-8667
Mailing address
180 N BROADWAY ST, BLACKFOOT, ID 83221-2203
(208) 785-0628
(208) 785-8667
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1288
ID
Other
Enumeration date
01/08/2013
Last updated
05/22/2013
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