NPI 1043883408

Matthew Allen Janzen, PTA

Practitioner Physical Therapy Assistant Boise, ID

Practice location

Address: 1001 S Hilton St, Boise, ID 83705-1925
Phone: (446) 420-8345
Mailing address: 25117 SW Parkway Ave STE D, Wilsonville, OR 97070-9697

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X

Other Physical Therapy Assistant providers in Idaho →

Registry record

NPI: 1043883408
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jul 2021
Record last updated: 22 Jul 2021

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.