-- JEREMY ALBERT DYE -- M.P.T.
Individual Provider (NPI-1)
Active
Physical Therapist
Provider Information
- NPI Number
1053534461- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.P.T.
- Status
- Active
Contact & Location
- Address
- 1172 W HAYDEN AVE, HAYDEN, ID, 838358700
- Phone
- (208) 773-8111
- Fax
- (208) 773-8385
Specialties & Taxonomies
Physical Therapist
Primary License: ID #PT2429
Physical Therapist
License: CA #PT25530