NPI 1104230044

Heather Galm, MOTOTRL

Practitioner Specialist Boise, ID

Practice location

Address: 6855 W Fairview Ave, Boise, ID 83704-8046
Phone: (208) 323-8888
Fax: (208) 323-8889

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence OT-1342 (ID)

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Registry record

NPI: 1104230044
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jun 2014
Record last updated: 18 Jun 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.