Organization
BBPT INC
Active
Other names
Body Balance Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID B HUTCHINSON MPT (PRESIDENT)
(208) 934-9011
Entity
Organization
Contact information
Practice address
423 IDAHO ST STE A, GOODING, ID 83330-1258
(208) 934-9011
(208) 934-9014
Mailing address
423 IDAHO ST STE A, GOODING, ID 83330-1258
(208) 934-9011
(208) 934-9014
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10146656
BLUE SHIELD
ID
05
—
806872200
—
ID
01
—
P00099594
RAILROAD MEDICARE
ID
01
—
T8950
BLUE CROSS
ID
Enumeration date
04/14/2006
Last updated
10/28/2008
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