MR. Scott R Bloxham, P.T.

NPI #1962488205 in Rupert, Idaho

Provider Information

NPI Number: 1962488205
Entity Type: Individual
Name: MR. Scott R Bloxham, P.T.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Dec 19, 2005
Last Updated: Jul 9, 2007

Practice Location

Address: 1224 8TH ST
Address 2: STE A
City: Rupert
State: Idaho
ZIP Code: 83350-1527
Phone: (208) 436-9016

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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