Individual
NOAH WILLIAM ELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
4623 ENTERPRISE WAY, CALDWELL, ID 83605-6764
(208) 455-4231
Mailing address
4501 MARVEL LN, EMMETT, ID 83617-9043
(714) 486-5654
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-9161
ID
225100000X
Physical Therapist
PT303210
CA
Other
Enumeration date
06/08/2024
Last updated
06/08/2024
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