Organization
NORTHWEST THERAPY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE A. THOMAS LRT (PRESIDENT)
(208) 226-2410
Entity
Organization
Contact information
Practice address
3129 WILLOW STREET, AMERICAN FALLS, ID 83211
(208) 226-2410
Mailing address
PO BOX 227, AMERICAN FALLS, ID 83211-0227
(208) 226-2410
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
DME188
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0025746
—
ID
Enumeration date
12/19/2006
Last updated
08/22/2020
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