Foot Dynamics

NPI 1760555288 - Orthotist - 222Z00000X

NPI Details
NPI 1760555288
Enumeration Date 11/15/2006
Last Updated 02/24/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JEFFREY THOMAS JEFFREY
Position OWNER
Phone (208) 386-3338
Fax (208) 386-3250
Practice Location
1021 W. MAIN ST.
BOISE ID, 83702-5706, US
Phone (208) 386-3338
Fax (208) 386-3250
Business Location
1021 W. MAIN ST.
BOISE ID, 83702-5706, US
Phone (208) 386-3338
Fax (208) 386-3250
Toxanomy
Taxonomy Code 222Z00000X
License State
License Number
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According to our database, Foot Dynamics NPI is 1760555288, taxonomy code is 222Z00000X Foot Dynamics physically located at 1021 W. Main St., Boise ID, 83702-5706. NPI Number 1033115704 has the healthcare provider type.

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1760555288 NPI number is provided on an as is basis without warranty of any kind. 1760555288 is maintained by the National Plan & Provider Enumeration System. The contents of Foot Dynamics are for informational purposes only.