Jace Eyre

NPI #1427425453 in Meridian, Idaho

Provider Information

NPI Number: 1427425453
Entity Type: Individual
Name: Jace Eyre
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Aug 25, 2015
Last Updated: Aug 25, 2015

Practice Location

Address: 1351 W PINE AVE
City: Meridian
State: Idaho
ZIP Code: 83642-5031
Phone: (208) 888-7049

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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