NPI 1073798476

Elements of Wellness Aquatic and Manual Therapy INC.

Organisation Specialist Moscow, ID

Practice location

Address: 872 Troy Rd Suite 170, Moscow, ID 83843-4046
Phone: (208) 892-8888
Fax: (208) 882-8890

Authorised official

Name: Dayna Kathleen Willbanks
Title: Occupational Therapist Owner
Phone: (208) 892-8888

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence OT-406 (ID)

Other Specialist providers in Idaho →

Registry record

NPI: 1073798476
Entity type: Organization
NPI issued: 3 Jan 2008
Record last updated: 3 Jan 2008

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.