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Individual

BRIAN SHARP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
14775 N KIMO CT STE A, RATHDRUM, ID 83858-8762
(208) 687-9240
(208) 687-9241
Mailing address
850 W IRONWOOD DR STE 202, COEUR D ALENE, ID 83814-4903
(208) 664-2175

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
61624607
WA

Other

Enumeration date
02/10/2025
Last updated
06/12/2026
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