Good Life Physical Therapy Pllc

NPI #1255000741 in Fruitland, Idaho

Provider Information

NPI Number: 1255000741
Entity Type: Organization
Organization Name: Good Life Physical Therapy Pllc
Primary Specialty: Physical Therapist
Enumeration Date: Sep 8, 2021
Last Updated: Sep 8, 2021

Practice Location

Address: 804 N WHITLEY DR
City: Fruitland
State: Idaho
ZIP Code: 83619-2437
Phone: (208) 740-3549

Authorized Official

Name: EMMA NELSON, PT, DPT
Title: PHYSICAL THERAPIST
Phone: (208) 739-5145

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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