Gridiron Rehab and Athletic Fitness, LLC
NPI #1033359450 in Meridian, Idaho
Provider Information
- NPI Number
- 1033359450
- Entity Type
- Organization
- Organization Name
- Gridiron Rehab and Athletic Fitness, LLC
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Feb 25, 2009
- Last Updated
- May 17, 2018
Practice Location
Authorized Official
- Name
- ERIC TAMURA
- Title
- ADMINISTRATOR / MANAGING EMPLOYEE
- Phone
- (208) 887-8684
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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| Provider Name | |
|---|---|
| Miranda Wilson, DPT | |
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Organizations
| Provider Name | |
|---|---|
| Pursuit Physical Therapy LLC | |
| Saint Alphonsus Regional Medical Center INC Part of Saint Alphonsus Regional Medical Center INC | |
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