Organization
ADVANCE PHYSICAL THERAPY FOR ORTHOPAEDIC AND SPORTS INJURIES, LLC
Active
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
Update your record
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