NPI 1013436641

Renew Manual Physical Therapy PLLC

Organisation Physical Therapist Boise, ID

Practice location

Address: 7444 W Saxton Dr # K101, Boise, ID 83714-1316
Phone: (602) 515-6659

Authorised official

Name: Breann Faye Suddock Fox
Title: Owner/Therapist
Phone: (602) 515-6659

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT-5245 (ID)

Other Physical Therapist providers in Idaho →

Registry record

NPI: 1013436641
Entity type: Organization
NPI issued: 14 Sep 2017
Record last updated: 21 Jul 2022

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.