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ELEMENTS OF WELLNESS AQUATIC AND MANUAL THERAPY INC. NPI 1073798476


NPI Information

NPI: 1073798476
Provider Name: ELEMENTS OF WELLNESS AQUATIC AND MANUAL THERAPY INC.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
872 TROY RD
SUITE 170
MOSCOW, ID
ZIP 83843
Phone: (208) 892-8888
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ELEMENTS OF WELLNESS AQUATIC AND MANUAL THERAPY INC. is a specialist in Moscow, ID. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ELEMENTS OF WELLNESS AQUATIC AND MANUAL THERAPY INC. NPI is 1073798476. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

872 TROY RD
SUITE 170
MOSCOW, ID
ZIP 83843-046
Phone: (208) 892-8888
Fax: (208) 882-8890

The provider's authorized official is Dayna Kathleen Willbanks .
The authorized official title is OCCUPATIONAL THERAPIST OWNEROwner and has the following contact phone number (208) 892-8888.

The enumeration date for this NPI number is 1/3/2008 and was last updated on 1/3/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistOT-406IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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