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Organization

VAULT PHYSICAL THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HANNAH GIBBS DPT (OWNER/DPT)
(208) 413-7062
Entity
Organization

Contact information

Practice address
615 21ST ST, LEWISTON, ID 83501-3285
(980) 297-0839
Mailing address
20888 KIDD DR, LEWISTON, ID 83501-5684
(980) 297-0839

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
12/19/2023
Last updated
05/02/2024
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