Individual
MICHAEL ANGELO RUVALCABA I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT ATC
Contact information
Practice address
120 E PINE ST, CALDWELL, ID 83605-4836
(208) 454-5142
Mailing address
11888 LOON ST, CALDWELL, ID 83605-8133
(208) 454-5142
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5771146
ID
Other
Enumeration date
09/03/2025
Last updated
10/24/2025
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