Phillip Wade Kreissler, DPT

NPI #1972750594 in Nampa, Idaho

Provider Information

NPI Number: 1972750594
Entity Type: Individual
Name: Phillip Wade Kreissler, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Aug 26, 2008
Last Updated: Aug 26, 2008

Practice Location

Address: 1015 12TH AVE S
Address 2: SUITE 105
City: Nampa
State: Idaho
ZIP Code: 83651-4602
Phone: (208) 467-4357

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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