Vault Physical Therapy LLC

NPI #1891563755 in Lewiston, Idaho

Provider Information

NPI Number: 1891563755
Entity Type: Organization
Organization Name: Vault Physical Therapy LLC
Primary Specialty: Physical Therapist
Enumeration Date: Dec 19, 2023
Last Updated: May 2, 2024

Practice Location

Address: 615 21ST ST
City: Lewiston
State: Idaho
ZIP Code: 83501-3285
Phone: (980) 297-0839

Authorized Official

Name: HANNAH GIBBS, DPT
Title: OWNER/DPT
Phone: (208) 413-7062

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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