-- JASON RAY HYDE -- MPT
Individual Provider (NPI-1)
Active
Physical Therapist
Provider Information
- NPI Number
1700102662- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MPT
- Status
- Active
Contact & Location
- Address
- 725 JENSEN GROVE DR SUITE 4, BLACKFOOT, ID, 832211636
- Phone
- (208) 227-6255
Specialties & Taxonomies
Physical Therapist
Primary License: ID #PT-1987