Primary Therapy Source, INC
Physical Therapist in Twin Falls, ID. Organization (NPI-2).
NPI number1710007331
StatusActive
Last updated in NPPESJul 10, 2007
Details
- NPI
- 1710007331
- Entity type
- Organization (NPI-2)
- Legal business name
- Primary Therapy Source, INC
- Organization subpart
- No
- Enumeration date
- Mar 29, 2007
- Last updated
- Jul 10, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
| 225X00000X | Occupational Therapist | – | – | |
| 235Z00000X | Speech-Language Pathologist, | – | – |
Practice location
254 River Vista PlTwin Falls, ID 83301-3006
Phone 208-734-7333 · Fax 208-734-8350
Mailing address
254 River Vista PlTwin Falls, ID 83301-3006
Phone 208-734-7333 · Fax 208-734-8350
Authorized official
Deborah Jan Yingst
Owner
2087347333
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All 150 Physical Therapist providers in Twin Falls · All 2,311 providers in Twin Falls
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