Whalio Doctors

NPI 1003187063

Mountain Integrated Therapy PLLC

Organisation Physical Therapist Preston, ID

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
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT-480 (ID)

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.