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Steven Merrill Bastian, DPT

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

NPI number1669602256
StatusActive
Last updated in NPPESDec 6, 2016

Details

NPI
1669602256
Entity type
Individual (NPI-1)
Name
Mr. Steven Merrill Bastian
Credential
DPT
Sex
Male
Sole proprietor
No
Enumeration date
Jul 17, 2009
Last updated
Dec 6, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist2932IDYes

Practice location

130 S Midland Blvd
Nampa, ID 83686-2601

Phone 208-461-5057 · Fax 208-461-5210

Mailing address

1906 Fairview Ave
Ste 410
Caldwell, ID 83605-5407

Phone 208-454-9839 · Fax 208-454-0727

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