Organization
ALPINE PHYSICAL THERAPY PLLC
Active
Organization
ALPINE PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTINE A WALTERS MPT (OWNER/ PHYSICAL THERAPIST)
(208) 652-9979
Entity
Organization
Contact information
Practice address
512 MAIN STREET, ASHTON, ID 83420-5026
(208) 652-9979
(208) 372-0609
Mailing address
PO BOX 553, ASHTON, ID 83420-0553
(208) 652-9979
(208) 372-0609
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
RPT-1604
ID
Other
Enumeration date
01/30/2012
Last updated
02/25/2020
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