Recover Physical Therapy, Pllc

NPI #1578120531 in Shoshone, Idaho

Provider Information

NPI Number
1578120531
Entity Type
Organization
Organization Name
Recover Physical Therapy, Pllc
Primary Specialty
Physical Therapist
Enumeration Date
May 24, 2019
Last Updated
May 24, 2019

Practice Location

Address
50 S HIGHWAY 93
State
Idaho
ZIP Code
83352-5337
Phone
(208) 969-9956

Authorized Official

Name
DR. BLAINE ERICKSON HAWKES, DPT
Title
DPT, CEO
Phone
(801) 602-4579

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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