Mountain Integrated Therapy Pllc

NPI #1003187063 in Preston, Idaho

Provider Information

NPI Number
1003187063
Entity Type
Organization
Organization Name
Mountain Integrated Therapy Pllc
Primary Specialty
Physical Therapist
Enumeration Date
Jan 23, 2012
Last Updated
Jan 23, 2012

Practice Location

Address
8 S STATE ST
State
Idaho
ZIP Code
83263-1243
Phone
(208) 604-1375

Authorized Official

Name
DOUGLAS COX
Title
OWNER
Phone
(208) 604-1375

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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