Primary Therapy Source LLC
NPI #1104672682 in Twin Falls, Idaho
Provider Information
- NPI Number
- 1104672682
- Entity Type
- Organization
- Organization Name
- Primary Therapy Source LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Apr 25, 2024
- Last Updated
- Apr 25, 2024
Practice Location
- Address
- 254 RIVER VISTA PL
- City
- Twin Falls
- State
- Idaho
- ZIP Code
- 83301-3006
- Phone
- (208) 734-7333
Authorized Official
- Name
- DEBORAH JAN YINGST, PT
- Title
- MANAGING MEMBER
- Phone
- (208) 734-7333
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
| Durable Medical Equipment & Medical Supplies |
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