Individual
MADELEINE PACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
600 N ROBBINS RD, BOISE, ID 83702-4539
(208) 489-4444
Mailing address
452 E HERON PARK ST, GARDEN CITY, ID 83714-5221
(512) 581-5424
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9061479
ID
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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