Individual
GARY DOUGLAS SCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
8257 N CORNERSTONE DR, HAYDEN, ID 83835-8683
(208) 772-0881
(208) 762-2625
Mailing address
PO BOX 3115, HAYDEN, ID 83835-3115
(208) 772-8147
(208) 762-2625
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 702
ID
Other
Enumeration date
06/07/2006
Last updated
08/06/2010
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