Individual
MS. JAMI LEE TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT CSCS
Contact information
Practice address
3322 GRAND MILL LANE, COEUR D ALENE, ID 83814
(208) 665-2000
(208) 665-2009
Mailing address
1590 E POLSTON AVE, SUITE B, POST FALLS, ID 83854-5218
(208) 777-4242
(208) 777-4020
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03392
IA
225100000X
Physical Therapist
PT-2391
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
808068700
—
ID
Enumeration date
01/11/2006
Last updated
08/22/2008
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