Organization
FOOTHILLS PHYSICAL THERAPY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BROOKS ABERG PT (SECRATARY)
(208) 343-4700
Entity
Organization
Contact information
Practice address
1618 MILLENIUM WAY, SUITE 210, MERIDIAN, ID 83642-6439
(208) 884-4647
Mailing address
1673 W SHORELINE DR, SUITE 230, BOISE, ID 83702-6730
(208) 343-4700
(208) 343-4706
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806761700
—
ID
Enumeration date
12/28/2006
Last updated
07/21/2022
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