Boise River Physical Therapy

NPI #1285014779 in Star, Idaho

Provider Information

NPI Number: 1285014779
Entity Type: Organization
Organization Name: Boise River Physical Therapy
Primary Specialty: Physical Therapist
Enumeration Date: Jun 1, 2015
Last Updated: Jul 14, 2015

Practice Location

Address: 64 S STAR ROAD
Address 2: SUITE 2
City: Star
State: Idaho
ZIP Code: 83669
Phone: (815) 540-6065

Authorized Official

Name: JON LINK, PT, MPT, OCS, CSCS
Title: OWNER
Phone: (815) 540-6065

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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