Individual
MR. DENNIS L. BALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
1304 CLEVELAND BLVD, CALDWELL, ID 83605
(208) 859-9569
(208) 376-5183
Mailing address
1304 CLEVELAND BLVD, CALDWELL, ID 83605
(208) 859-9569
(208) 376-5183
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
RPT-300
ID
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912090416
—
ID
Enumeration date
10/02/2006
Last updated
05/28/2013
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