Activenw, LLC
NPI #1730696824 in Coeur D Alene, Idaho
Provider Information
- NPI Number
- 1730696824
- Entity Type
- Organization
- Organization Name
- Activenw, LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jan 10, 2018
- Last Updated
- Mar 12, 2020
Practice Location
- Address
- 301 N 3RD ST
- City
- Coeur D Alene
- State
- Idaho
- ZIP Code
- 83814
- Phone
- (208) 772-8557
Authorized Official
- Name
- HANNAH MORRIS
- Title
- MANAGING OWNER
- Phone
- (208) 215-2210
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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