HAILEY LONG
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1780553297- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 120 E PINE ST, CALDWELL, ID, 836054836
- Phone
- (208) 454-5142
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: ID #PTA-5637
All Addresses
MAILING
2021 N EUREKA AVE
MERIDIAN, ID, 836463868