NPI 1760555288

Foot Dynamics

Organisation Orthotist Boise, ID

Practice location

Address: 1021 W. Main St., Boise, ID 83702-5706
Phone: (208) 386-3338
Fax: (208) 386-3250

Authorised official

Name: Jeffrey Thomas Jacobs
Title: Owner
Phone: (208) 386-3338

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Registry record

NPI: 1760555288
Entity type: Organization
NPI issued: 15 Nov 2006
Record last updated: 24 Feb 2009

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.