S.p.o.r.t. Physical Therapy Clinic

NPI #1437671021 in Lewiston, Idaho

Provider Information

NPI Number: 1437671021
Entity Type: Organization
Organization Name: S.p.o.r.t. Physical Therapy Clinic
Primary Specialty: Physical Therapist
Enumeration Date: Jul 14, 2017
Last Updated: Jul 6, 2021

Practice Location

Address: 3506 12TH ST
City: Lewiston
State: Idaho
ZIP Code: 83501-5511
Phone: (208) 746-0214

Authorized Official

Name: KELLY A. STEIGER
Title: OWNER/MANAGER
Phone: (208) 746-0214

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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