Organization
RECOVER PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAINE ERICKSON HAWKES DPT (CEO)
(801) 602-4579
Entity
Organization
Contact information
Practice address
1502 LOCUST ST N, BUILDING 400 STE 101, TWIN FALLS, ID 83301-4162
(801) 602-4579
Mailing address
1502 LOCUST ST N, BUILDING 400 STE 101, TWIN FALLS, ID 83301-4162
(801) 602-4579
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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