Samuel Timothy Hetherington, DPT

NPI #1093325979 in Nampa, Idaho

Provider Information

NPI Number: 1093325979
Entity Type: Individual
Name: Samuel Timothy Hetherington, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Aug 5, 2020
Last Updated: Aug 5, 2020

Practice Location

Address: 2005 12TH AVE RD
City: Nampa
State: Idaho
ZIP Code: 83686-6311
Phone: (208) 463-0022

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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