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Jerrod Ackerman

Physical Therapist in Boise, ID. Individual provider (NPI-1).

NPI number1487067005
StatusActive
Last updated in NPPESDec 15, 2014

Details

NPI
1487067005
Entity type
Individual (NPI-1)
Name
Jerrod Ackerman
Sex
Male
Sole proprietor
No
Enumeration date
Jun 11, 2014
Last updated
Dec 15, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT-3702IDYes

Practice location

390 E Parkcenter Blvd
Ste. 130
Boise, ID 83706-6662

Phone 208-433-9211 · Fax 208-433-9241

Mailing address

16083 Sw Upper Boones Ferry Rd
Ste. 300
Tigard, OR 97224-7736

Phone 800-219-8835 · Fax 503-639-9699

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