Wild Rose Physio Pllc
NPI #1154162113 in Moscow, Idaho
Provider Information
- NPI Number
- 1154162113
- Entity Type
- Organization
- Organization Name
- Wild Rose Physio Pllc
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Jun 4, 2024
- Last Updated
- Jun 4, 2024
Practice Location
Authorized Official
- Name
- LAUREN JENTGES, PT, DPT
- Title
- OWNER
- Phone
- (206) 948-7475
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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