Lindsey E. Decloss, M.S.P.T.

NPI #1194822528 in Star, Idaho

Provider Information

NPI Number: 1194822528
Entity Type: Individual
Name: Lindsey E. Decloss, M.S.P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: M.S.P.T.
Enumeration Date: Sep 20, 2006
Last Updated: Jan 7, 2015

Practice Location

Address: 9652 W STATE ST
City: Star
State: Idaho
ZIP Code: 83669-5858
Phone: (208) 286-0766

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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