Individual
TAYLOR A CAVAZOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3040 N FIVE MILE RD, BOISE, ID 83713-5234
(208) 939-0533
(208) 939-3341
Mailing address
12072 W MCMILLAN RD, BOISE, ID 83713-2462
(208) 939-0533
(208) 939-3341
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-6090
ID
Other
Enumeration date
05/17/2019
Last updated
05/17/2019
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