NPI 1053868430

Anthony Calvin Botos, LPTA

Practitioner Physical Therapy Assistant Boise, ID

Practice location

Address: 190 E Bannock St, Boise, ID 83712-6241
Phone: (208) 381-1553

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA-363 (ID)

Other Physical Therapy Assistant providers in Idaho →

Registry record

NPI: 1053868430
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Sep 2016
Record last updated: 2 Sep 2016

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.