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Adam Wheeler, PT

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

NPI number1508109331
StatusActive
Last updated in NPPESMar 29, 2018

Details

NPI
1508109331
Entity type
Individual (NPI-1)
Name
Adam Wheeler
Credential
PT
Sex
Male
Sole proprietor
No
Enumeration date
Mar 29, 2013
Last updated
Mar 29, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT3211IDYes

Practice location

31911 N 5th St
Spirit Lake, ID 83869

Phone 208-623-6717

Mailing address

Po Box 3482
Post Falls, ID 83877-3482

Phone 208-209-6170

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