Orofino Physical Therapy, Pllc

NPI 1164850947 - Physical Therapist - 225100000X

NPI Details
NPI 1164850947
Enumeration Date 10/14/2013
Last Updated 03/29/2014
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name SHELLIE M SHELLIE
Position VICE PRESIDENT
Phone (208) 375-0666
Fax (208) 375-2996
Practice Location
1005 MICHIGAN AVENUE
OROFINO ID, 83544-2546, US
Phone (208) 375-0666
Fax (208) 375-2996
Business Location
1005 MICHIGAN AVENUE
OROFINO ID, 83544-1005, US
Phone (208) 476-9365
Fax (208) 476-9366
Toxanomy
Taxonomy Code 225100000X
License State Idaho
License Number PT538
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According to our database, Orofino Physical Therapy, Pllc NPI is 1164850947, taxonomy code is 225100000X and license number is PT538, license state is located at Idaho. Orofino Physical Therapy, Pllc physically located at 1005 Michigan Avenue, Orofino ID, 83544-2546. NPI Number 1033115704 has the healthcare provider type.

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1164850947 NPI number is provided on an as is basis without warranty of any kind. 1164850947 is maintained by the National Plan & Provider Enumeration System. The contents of Orofino Physical Therapy, Pllc are for informational purposes only.