Taigan Neibaur
Physical Therapist in Boise, ID. Individual provider (NPI-1).
NPI number1457831745
StatusActive
Last updated in NPPESAug 16, 2018
Details
- NPI
- 1457831745
- Entity type
- Individual (NPI-1)
- Name
- Taigan Neibaur
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2018
- Last updated
- Aug 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT-5861 | ID | Yes |
Practice location
901 N Curtis Rd Ste 204Boise, ID 83706-1340
Phone 208-251-6426
Mailing address
6871 Stage Coach RdNampa, ID 83686-1282
Phone 120-825-1642
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