Organization
KING PHYSICAL THERAPY P.C.
Active
Organization
KING PHYSICAL THERAPY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT GLEN KING MPT (PRESIDENT)
(208) 477-8028
Entity
Organization
Contact information
Practice address
103 S COMMERCIAL AVE, EMMETT, ID 83617-2921
(208) 477-8028
(208) 287-9426
Mailing address
PO BOX 1056, EMMETT, ID 83617-1056
(208) 477-8028
(208) 287-9426
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1924
ID
Other
Enumeration date
08/09/2010
Last updated
01/16/2013
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