Boynton, Andrew

Boynton, Andrew is an individual health care provider with primary practice located at 943 N Linder Rd Ste 104 , Kuna ID 83634-3395. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Boynton, Andrew can be contacted via phone (208) 922-1719.

Contact Information

Primary practice address
943 N Linder Rd Ste 104 Kuna ID 83634-3395
Phone: (208) 922-1719
Fax: (208) 922-1721
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-5412 Idaho

Profile Details

NPI number 1356841050
LBN Legal business name Boynton, Andrew
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2018
Last updated Feb 19th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356841050 NPPES
Idaho Other PT-5412 STATE LICENSE

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