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ELLIOT DUANE BROADHEAD DPT

Individual Provider (NPI-1) Active

Physical Therapist

Provider Information

NPI Number
1255996468
Provider Type
Individual Provider (NPI-1)
Credentials
DPT
Status
Active

Contact & Location

Address
527 5TH AVE #500, SHEPPARD AFB, TX, 76311
Phone
(208) 828-4626

Specialties & Taxonomies

Physical Therapist Primary License: ID #5817

All Addresses

LOCATION

527 5TH AVE #500

SHEPPARD AFB, TX, 76311

(208) 828-4626

MAILING

1410 W AIRBASE RD APT 2

MOUNTAIN HOME, ID, 836473344

(208) 730-7467