NPI 1497202832

Rebecca Mace

Practitioner Physical Therapy Assistant Meridian, ID

Practice location

Address: 520 S Eagle Rd, Meridian, ID 83642-6351
Phone: (208) 706-5599

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA-355 (ID)

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Registry record

NPI: 1497202832
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Sep 2016
Record last updated: 1 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.