Individual
WILLIAM MOATS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
600 N ROBBINS RD, BOISE, ID 83702-4565
(208) 489-4040
(208) 489-4064
Mailing address
600 N ROBBINS RD, BOISE, ID 83702-4565
(208) 489-4040
(208) 489-4064
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
276
ID
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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