Individual
DOUGLAS WAYNE BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.P.T. A.T.C.
Contact information
Practice address
316 W 2ND S, SODA SPRINGS, ID 83276-1515
(208) 547-3125
(208) 547-0715
Mailing address
801 S 1ST E, GRACE, ID 83241-5386
(208) 425-9199
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1662
ID
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
05/01/2007
Last updated
09/30/2019
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