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Organization

HYDE PHYSICAL THERAPY

Active
Other names
Hyde Ellis Physical Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
JASON R HYDE P.T. (PHYSICALS THERAPIST/OWNER)
(208) 227-6255
Entity
Organization

Contact information

Practice address
725 JENSEN GROVE DR, SUITE 4, BLACKFOOT, ID 83221-1636
(208) 785-3462
(208) 785-3453
Mailing address
725 JENSEN GROVE DR, SUITE 4, BLACKFOOT, ID 83221-1636
(208) 785-3462
(208) 785-3453

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT-1987
ID

Other

Enumeration date
03/21/2013
Last updated
09/13/2013
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