Gridiron Rehab And Athletic Fitness

NPI 1033359450 - Clinic/Center - 261QP2000X

NPI Details
NPI 1033359450
Enumeration Date 02/25/2009
Last Updated 10/31/2012
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name DENNIS S DENNIS
Position GROUP VP
Phone (208) 887-8684
Fax (208) 887-9226
Practice Location
3035 W MCMILLAN RD
SUITE 104
MERIDIAN ID, 83646-6163, US
Phone (208) 887-8684
Fax (208) 887-9226
Business Location
3035 W MCMILLAN RD
SUITE 104
MERIDIAN ID, 83646-6163, US
Phone (208) 887-8684
Fax (208) 887-9226
Toxanomy
Taxonomy Code 261QP2000X
License State
License Number
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According to our database, Gridiron Rehab And Athletic Fitness NPI is 1033359450, taxonomy code is 261QP2000X Gridiron Rehab And Athletic Fitness physically located at 3035 W Mcmillan Rd, Meridian ID, 83646-6163. NPI Number 1033115704 has the healthcare provider type.

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1033359450 NPI number is provided on an as is basis without warranty of any kind. 1033359450 is maintained by the National Plan & Provider Enumeration System. The contents of Gridiron Rehab And Athletic Fitness are for informational purposes only.