Individual
SARAH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
73 N MAIN STREET, VICTOR, ID 83455
(208) 787-6900
(208) 787-0946
Mailing address
485 W 7750 N, TETONIA, ID 83452-1213
(208) 390-3507
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-6984
ID
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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