Foot Dynamics

NPI #1760555288 in Boise, Idaho

Provider Information

NPI Number: 1760555288
Entity Type: Organization
Organization Name: Foot Dynamics
Primary Specialty: Orthotist
Enumeration Date: Nov 15, 2006
Last Updated: Feb 24, 2009

Practice Location

Address: 1021 W. MAIN ST.
City: Boise
State: Idaho
ZIP Code: 83702-5706
Phone: (208) 386-3338

Authorized Official

Name: MR. JEFFREY THOMAS JACOBS, C.PED.
Title: OWNER
Phone: (208) 386-3338

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotist	222Z00000X	Primary

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