Organization
ADVANCE PHYSICAL THERAPY FOR ORTHOPAEDIC AND SPORTS INJURIES, LLC
Active
Other names
Advance Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALVIN L JONES P.T (OWNER)
(208) 672-8144
Entity
Organization
Contact information
Practice address
9362 W OVERLAND RD, BOISE, ID 83709-2505
(208) 672-8144
(208) 672-8145
Mailing address
9362 W OVERLAND RD, BOISE, ID 83709-2505
(208) 672-8144
(208) 672-8145
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1431
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093929812
NPI
ID
01
—
1376500124
NPI
—
01
—
1437187663
NPI
—
05
—
805751600
—
ID
05
—
805753950
—
ID
Enumeration date
06/08/2007
Last updated
01/07/2019
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