Hailey Sport and Spine Physical Therapy PA

NPI #1184612772 in Hailey, Idaho

Provider Information

NPI Number
1184612772
Entity Type
Organization
Organization Name
Hailey Sport and Spine Physical Therapy PA
Primary Specialty
Physical Therapist
Enumeration Date
Oct 8, 2005
Last Updated
Aug 22, 2020

Practice Location

Address
810 S MAIN ST
Address 2
STE 7A
City
Hailey
State
Idaho
ZIP Code
83333-8426
Phone
(208) 788-6312

Authorized Official

Name
MS. KIMBERLY A MAZIK, PT
Title
OWNER
Phone
(208) 788-6312

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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