Myofascial Release Center

LBN: 62 Degrees Physical Therapy
Myofascial Release Center is an health care organization with primary practice located at 8660 W Emerald St , Boise ID 83704-4825. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. 62 Degrees Physical Therapy can be contacted via phone (208) 321-7831, or through Moffett, Katrin Hurley via phone (208) 321-7831.

Contact Information

Primary practice address
8660 W Emerald St Boise ID 83704-4825
Phone: (208) 321-7831
Fax: (208) 995-2870
Website:
Map and Directions
Authorized official contact:
Name: Moffett, Katrin Hurley PT, DPT, CWS, FACCWS
Phone: (208) 321-7831

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT632 Idaho

Profile Details

NPI number 1154743912
LBN Legal business name 62 Degrees Physical Therapy
DBA Doing business as Myofascial Release Center
Authorized official Moffett, Katrin Hurley PT, DPT, CWS, FACCWS
Entity Organization
Organization subpart 1 No
Enumeration date Jan 14th, 2014
Last updated Jan 14th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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