Tri-City Physical Therapy, P.c.

NPI #1093864282 in Fruitland, Idaho

Provider Information

NPI Number: 1093864282
Entity Type: Organization
Organization Name: Tri-City Physical Therapy, P.c.
Primary Specialty: Specialist
Enumeration Date: Jan 9, 2007
Last Updated: May 21, 2013

Practice Location

Address: 215 N. WHITLEY DRIVE
Address 2: SUITE 1
City: Fruitland
State: Idaho
ZIP Code: 83619-2706
Phone: (208) 452-6366

Authorized Official

Name: MR. CODY DEE STEPHENS, P.T.
Title: OWNER/PRESIDENT
Phone: (208) 452-6366

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Specialist	174400000X	Primary

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