-- MICHELLE RENEE ANDERSON --
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1700046984- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 420 ROWE ST, MOSCOW, ID, 838439319
- Phone
- (208) 882-4576
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: ID #PTA-2148