Patricia Hyatt Pt Llc

NPI 1023028818 - Clinic/Center - 261QP2000X

NPI Details
NPI 1023028818
Enumeration Date 08/08/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name PATRICIA PATRICIA
Position MANAGER
Phone (208) 879-6671
Fax (208) 879-6680
Practice Location
1050 CLINIC RD N
CHALLIS ID, 83226-9376, US
Phone (208) 879-6671
Fax (208) 879-6680
Business Location
PO BOX 1395
CHALLIS ID, 83226-1395, US
Phone (208) 879-6671
Fax (208) 879-6680
Toxanomy
Taxonomy Code 261QP2000X
License State Idaho
License Number PT-2010
Remove 1023028818 NPI Number
 

According to our database, Patricia Hyatt Pt Llc NPI is 1023028818, taxonomy code is 261QP2000X and license number is PT-2010, license state is located at Idaho. Patricia Hyatt Pt Llc physically located at 1050 Clinic Rd N, Challis ID, 83226-9376. NPI Number 1033115704 has the healthcare provider type.

1023028818 NPI number is provided on an as is basis without warranty of any kind. 1023028818 is maintained by the National Plan & Provider Enumeration System. The contents of Patricia Hyatt Pt Llc are for informational purposes only.