Organization
ST. MARY'S HOSPITAL
Active
Other names
Kamiah Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THERESA A UPTMOR (CHIEF BUSINESS SERVICES OFFICER)
(208) 962-2301
Entity
Organization
Contact information
Practice address
619 4TH ST, KAMIAH, ID 83636
(208) 935-0367
(208) 935-0345
Mailing address
PO BOX 95, KAMIAH, ID 83536-0095
(208) 935-0367
(208) 935-0345
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/06/2009
Last updated
04/07/2015
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