NPI 1003187063
Mountain Integrated Therapy PLLC
Practice location
- Address
- 8 S State St, Preston, ID 83263-1243
- Phone
- (208) 604-1375
Authorised official
- Name
- Douglas Cox
- Title
- Owner
- Phone
- (208) 604-1375
Registered specialties
Physical Therapist
Primary
Registry record
- NPI
- 1003187063
- Entity type
- Organization
- NPI issued
- 23 Jan 2012
- Record last updated
- 23 Jan 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.