Individual
DAVID H. WETTERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
820 ELM ST, ST MARIES, ID 83861-2119
(208) 245-4576
(208) 245-2138
Mailing address
820 ELM ST, ST MARIES, ID 83861-2119
(208) 245-4576
(208) 245-2138
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-160
ID
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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