NPI 1063092393

James Richard Teater, DPT

Practitioner Physical Therapist Nampa, ID

Practice location

Address: 4300 E Flamingo Ave, Nampa, ID 83687-3138
Phone: (208) 205-5059
Mailing address: 952 N Camelot Dr, Boise, ID 83704-8603

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT-4408 (ID)

Other Physical Therapist providers in Idaho →

Registry record

NPI: 1063092393
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Apr 2021
Record last updated: 12 Apr 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.