Individual
JOSHUA ROSS GREENWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1263 BENNETT AVE STE 2, BURLEY, ID 83318-4906
(208) 678-1191
Mailing address
1263 BENNETT AVE STE 2, BURLEY, ID 83318-4906
(208) 678-1191
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-6455
ID
Other
Enumeration date
08/02/2019
Last updated
08/02/2019
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