Rusty M Wood, MPT

NPI #1295034684 in Kellogg, Idaho

Provider Information

NPI Number: 1295034684
Entity Type: Individual
Name: Rusty M Wood, MPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: MPT
Enumeration Date: Mar 24, 2011
Last Updated: Mar 24, 2011

Practice Location

Address: 704 MCKINLEY AVENUE
City: Kellogg
State: Idaho
ZIP Code: 83837
Phone: (208) 783-3015

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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