Individual
AMY LYNN SPEAROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
9850 W ST LUKES DR, NAMPA, ID 83687-7912
(208) 505-2000
Mailing address
15345 ROCCA AVE, CALDWELL, ID 83607-6703
(208) 794-3167
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2678
ID
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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