Organization
NORTH STAR PHYSICAL THERAPY AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON WILLIAM BRUNS P.T. (PHYSICAL THERAPIST)
(208) 659-6327
Entity
Organization
Contact information
Practice address
8944 N. HESS ST, SUITE B, HAYDEN, ID 83835
(208) 762-0251
(208) 762-0252
Mailing address
8944 N. HESS ST, SUITE B, HAYDEN, ID 83835-9691
(208) 762-0251
(208) 762-0252
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT1877
ID
Other
Enumeration date
11/16/2012
Last updated
11/16/2012
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