Organization
PHOENIX PHYSICAL THERAPY PLLC
Active
Organization
PHOENIX PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW RICCI P.T. (OWNER, AUTHORIZED OFFICIAL, PROVIDE)
(208) 754-2127
Entity
Organization
Contact information
Practice address
4676 WEIGEL CIR, IONA, ID 83427-4907
(208) 754-2127
Mailing address
4676 WEIGEL CIR, IONA, ID 83427-4907
(208) 754-2127
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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