Individual
REID J PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4776 N FIVE MILE RD, SUITE 101, BOISE, ID 83713-2715
(208) 658-9500
(208) 658-9501
Mailing address
4776 N FIVE MILE RD, SUITE 101, BOISE, ID 83713-2715
(208) 658-9500
(208) 658-9501
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2288
ID
225100000X
Physical Therapist
PT00009177
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8405433
—
WA
Enumeration date
06/29/2006
Last updated
05/12/2008
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