Organization
IRONWOOD DRIVE PHYSICAL THERAPY, PA
Active
Other names
Hayden Lake Physical Therapy and Aquatics
Organization subpart
No
Provider details
NPI number
Authorized official
DIRK ANTHONY BAIRD DPT (OWNER)
(208) 667-6264
Entity
Organization
Contact information
Practice address
1450 NORTHWEST BLVD STE 106, COEUR D ALENE, ID 83814-5605
(208) 667-6264
(208) 664-4313
Mailing address
1450 NORTHWEST BLVD STE 106, COEUR D ALENE, ID 83814-5605
(208) 667-6264
(208) 664-4313
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/15/2006
Last updated
03/10/2020
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