Aegis Group Practice LLC

NPI #1972397891 in Meridian, Idaho

Provider Information

NPI Number: 1972397891
Entity Type: Organization
Organization Name: Aegis Group Practice LLC
Primary Specialty: Physical Therapist
Enumeration Date: Apr 7, 2025
Last Updated: Apr 7, 2025

Practice Location

Address: 3123 S TITANIUM AVE
City: Meridian
State: Idaho
ZIP Code: 83642-8818
Phone: (479) 201-6091

Authorized Official

Name: TRACY MCCALL
Title: CREDENTIALING
Phone: (479) 201-6091

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X
Physical Therapist	225100000X	Primary

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