Whalio Doctors

NPI 1669664488

Terence Kevin Potts, LMTLLCC

Practitioner Mechanotherapist Hailey, ID

Practice location

Address
16 W Croy St Suite K, Hailey, ID 83333-9700
Phone
(208) 450-7665
Mailing address
PO Box 3943, Hailey, ID 83333-3943

Registered specialties

Mechanotherapist Primary
Other Service Providers Taxonomy 172M00000X Licence 2896 (NM)

Registry record

NPI
1669664488
Entity type
Individual
Sex (as registered)
Male
NPI issued
15 Aug 2007
Record last updated
15 Aug 2007

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.