Individual
TODD RITCHIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, MPT, ATC
Contact information
Practice address
180 N BROADWAY, BLACKFOOT, ID 83221-2203
(208) 785-0628
(208) 785-8667
Mailing address
180 N BROADWAY ST, BLACKFOOT, ID 83221-2203
(208) 785-0628
(208) 785-8667
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1288
ID
2251X0800X
Orthopedic Physical Therapist
PT-1288
ID
Other
Enumeration date
07/20/2007
Last updated
07/30/2016
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