Individual
AMY KATHRYN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3875 E OVERLAND RD, MERIDIAN, ID 83642-9005
(208) 489-5060
Mailing address
807 W ALTURAS ST, BOISE, ID 83702-3637
(406) 249-7082
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2918
ID
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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