Summit Physical Therapy

NPI #1871331702 in Star, Idaho

Provider Information

NPI Number: 1871331702
Entity Type: Organization
Organization Name: Summit Physical Therapy
Primary Specialty: Physical Therapist
Enumeration Date: Jul 16, 2024
Last Updated: Oct 28, 2024

Practice Location

Address: 152 N SENECA SPRINGS WAY # 110
City: Star
State: Idaho
ZIP Code: 83669-6037
Phone: (208) 995-2913

Authorized Official

Name: RANDALL KEITH LANGLEY, PT
Title: PRESIDENT
Phone: (208) 939-3332

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X
Physical Therapist	225100000X	Primary

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