Blaine Hawkes

NPI #1700135340 in Shoshone, Idaho

Provider Information

NPI Number: 1700135340
Entity Type: Individual
Name: Blaine Hawkes
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Aug 29, 2012
Last Updated: Oct 2, 2019

Practice Location

Address: 50 S HIGHWAY 93
City: Shoshone
State: Idaho
ZIP Code: 83352-5337
Phone: (801) 942-3311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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Provider Name	Specialty	City
MS. Martha Mary Clements, PT	Physical Therapist	Shoshone	AI Deep Dive
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Organizations

Provider Name	Specialty	City
Recover Physical Therapy, Pllc	Physical Therapist	Shoshone	AI Deep Dive
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