Individual
COBY CONTRERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
8727 W ARDENE ST STE 102G, BOISE, ID 83709-2627
(208) 322-6200
Mailing address
8727 W ARDENE ST STE 102G, BOISE, ID 83709-2627
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
PT021369
OH
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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