Individual
MR. SCOTT R BLOXHAM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1224 8TH ST, STE A, RUPERT, ID 83350-1527
(208) 436-9016
(208) 436-4922
Mailing address
545 CEDAR DR, BURLEY, ID 83318-2821
(208) 878-9274
(208) 436-4922
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
RPT-085
ID
Other
Enumeration date
12/19/2005
Last updated
07/09/2007
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