I Can Pt Llc

NPI 1194129817 - Physical Therapist - 225100000X

NPI Details
NPI 1194129817
Enumeration Date 10/09/2014
Last Updated 02/06/2015
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name HEATHER J HEATHER
Position CEO
Phone (208) 789-0200
Fax (208) 288-2784
Practice Location
1626 WELLS AVE
SUITE 105
MERIDIAN ID, 83642-4524, US
Phone (208) 789-0200
Fax (208) 288-2784
Business Location
1626 WELLS AVE
SUITE 105
MERIDIAN ID, 83642-4524, US
Phone (208) 789-0200
Fax (208) 288-2784
Toxanomy
Taxonomy Code 225100000X
License State Idaho
License Number PT-2550
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According to our database, I Can Pt Llc NPI is 1194129817, taxonomy code is 225100000X and license number is PT-2550, license state is located at Idaho. I Can Pt Llc physically located at 1626 Wells Ave, Meridian ID, 83642-4524. NPI Number 1033115704 has the healthcare provider type.

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1194129817 NPI number is provided on an as is basis without warranty of any kind. 1194129817 is maintained by the National Plan & Provider Enumeration System. The contents of I Can Pt Llc are for informational purposes only.