Individual
DR. NATASHA MICHELLE BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3277 E LOUISE DR STE 410, MERIDIAN, ID 83642-9360
(208) 489-5800
Mailing address
7835 W CRESTWOOD DR, BOISE, ID 83704-3020
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-5260
ID
Other
Enumeration date
09/06/2017
Last updated
09/06/2017
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