Boost Ventures Pllc

NPI #1740883172 in Rexburg, Idaho

Provider Information

NPI Number: 1740883172
Entity Type: Organization
Organization Name: Boost Ventures Pllc
Primary Specialty: Physical Therapist
Enumeration Date: Nov 18, 2020
Last Updated: Nov 18, 2020

Practice Location

Address: 36 N 2ND W
City: Rexburg
State: Idaho
ZIP Code: 83440-1515
Phone: (208) 313-7569

Authorized Official

Name: BLAKE GALBRAITH, DPT
Title: OWNER
Phone: (208) 313-7569

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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