Individual
NICHOLAS A MUNNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
111 LILLIAN ST, SUITE 102, SALMON, ID 83467-4301
(208) 756-6734
(208) 756-6734
Mailing address
111 LILLIAN ST, SUITE 102, SALMON, ID 83467-4301
(208) 756-6734
(208) 756-6734
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
097
ID
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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