NPI 1154743912

62 Degrees Physical Therapy

Organisation Physical Therapist Boise, ID

Practice location

Address: 8660 W Emerald St, Boise, ID 83704-4825
Phone: (208) 321-7831
Fax: (208) 995-2870

Authorised official

Name: Katrin Hurley Moffett
Title: Owner/Member
Phone: (208) 321-7831

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT632 (ID)

Other Physical Therapist providers in Idaho →

Registry record

NPI: 1154743912
Entity type: Organization
NPI issued: 14 Jan 2014
Record last updated: 14 Jan 2014

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.