Organization
S.P.O.R.T. PHYSICAL THERAPY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY ANDREW STEIGER (OWNER)
(208) 746-7573
Entity
Organization
Contact information
Practice address
328 WARNER DR STE 8, LEWISTON, ID 83501-4441
(208) 746-7573
Mailing address
328 WARNER DR STE 8, LEWISTON, ID 83501-4441
(208) 746-7573
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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