Derek James Wasden, DPT

NPI #1215778667 in Kuna, Idaho

Provider Information

NPI Number: 1215778667
Entity Type: Individual
Name: Derek James Wasden, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: May 31, 2024
Last Updated: Jul 5, 2024

Practice Location

Address: 943 N LINDER RD STE 104
City: Kuna
State: Idaho
ZIP Code: 83634-3395
Phone: (208) 972-4612

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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