Individual
MEGAN THREATTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
337 W IOWA AVE, NAMPA, ID 83686-2856
(208) 467-7889
Mailing address
5982 S JESSENIA LN, BOISE, ID 83709-1739
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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