NATHAN SPENCER PT
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1063106433- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PT
- Status
- Active
Contact & Location
- Address
- 645 E STATE ST STE 101, EAGLE, ID, 836165915
- Phone
- (208) 939-9594
- Fax
- (208) 939-9828
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: ID #PT-8584