Sawtooth Physical Therapy
Clinic/Center, Physical Therapy in Boise, ID. Organization (NPI-2).
NPI number1013206002
StatusActive
Last updated in NPPESJun 11, 2020
Details
- NPI
- 1013206002
- Entity type
- Organization (NPI-2)
- Legal business name
- Sawtooth Physical Therapy
- Organization subpart
- No
- Enumeration date
- Mar 31, 2011
- Certification date
- Jun 11, 2020
- Last updated
- Jun 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | PT 1938 | ID | Yes |
Practice location
7979 W Rifleman St Ste 200Boise, ID 83704-9066
Phone 208-340-5099
Mailing address
235 Flume StBoise, ID 83712-6318
Authorized official
Ronald D Miller
President
2083405099
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