Individual
AUSTIN STURDIVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
7711 W RIVERSIDE DR, BOISE, ID 83714-6182
(208) 813-9544
(208) 810-4499
Mailing address
1411 FALLS AVE E STE 401, TWIN FALLS, ID 83301-3455
(208) 969-9945
(208) 944-0488
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
ID
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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