Individual
PHIL WEEKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
46 N MIDLAND BLVD, NAMPA, ID 83651-2145
(208) 466-7803
Mailing address
46 N MIDLAND BLVD, NAMPA, ID 83651-2145
(208) 466-7803
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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