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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