Lifestyles Therapy & Wellness Center INC.
Physical Therapist in Twin Falls, ID. Organization (NPI-2).
NPI number1013189596
StatusActive
Last updated in NPPESMay 17, 2023
Details
- NPI
- 1013189596
- Entity type
- Organization (NPI-2)
- Legal business name
- Lifestyles Therapy & Wellness Center INC.
- Organization subpart
- No
- Enumeration date
- Mar 25, 2008
- Certification date
- May 17, 2023
- Last updated
- May 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT-1352 | ID | Yes |
Practice location
276 Eastland Dr NTwin Falls, ID 83301-4458
Phone 208-735-8563 · Fax 208-735-8564
Mailing address
276 Eastland Dr NTwin Falls, ID 83301-4458
Phone 208-735-8563 · Fax 208-735-8564
Authorized official
M. Andrew Mix
President
2087358563
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