Tai Boise Physical Therapy State Street

LBN: Therapeutic Associates Inc
Tai Boise Physical Therapy State Street is an health care organization with primary practice located at 390 E Parkcenter Blvd Suite 130, Boise ID 83706-6662. 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. Therapeutic Associates Inc can be contacted via phone (208) 433-9211, or through Gifford, Todd Robert via phone (503) 443-6156.

Contact Information

Primary practice address
390 E Parkcenter Blvd Suite 130 Boise ID 83706-6662
Phone: (208) 433-9211
Fax: (208) 433-9241
Website:
Map and Directions
Authorized official contact:
Name: Gifford, Todd Robert Physical Therapist (PT)
Phone: (503) 443-6156

Health care specialties

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

Profile Details

NPI number 1326024472
LBN Legal business name Therapeutic Associates Inc
DBA Doing business as Tai Boise Physical Therapy State Street
Authorized official Gifford, Todd Robert Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2005
Last updated Oct 26th, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326024472 NPPES
Idaho MEDICAID 1326024472
Idaho MEDICAID 1326024472-000
Idaho MEDICAID 197670348

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