Individual
CHRISTOPHER J LOUGHEED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
77 N FISHER PARK WAY, EAGLE, ID 83616-4796
(208) 972-0918
(877) 890-5617
Mailing address
2965 E TARPON DR STE 150, MERIDIAN, ID 83642-9007
(208) 287-9420
(208) 287-9426
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-3215
ID
225400000X
Rehabilitation Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760627038
—
ID
Enumeration date
12/15/2008
Last updated
03/17/2018
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