Mayes, Daryl Dean

Mayes, Daryl Dean is an individual health care provider with primary practice located at 1976 S Lincoln Ave Suite 6A, Jerome ID 83338-6150. 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. Mayes, Daryl Dean can be contacted via phone (208) 644-1433.

Contact Information

Primary practice address
1976 S Lincoln Ave Suite 6A Jerome ID 83338-6150
Phone: (208) 644-1433
Fax: (208) 644-1434
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 125 Idaho

Profile Details

NPI number 1033262183
LBN Legal business name Mayes, Daryl Dean
Credentials P.T., D.P.T., M.H.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2007
Last updated Jul 9th, 2007 - about 19 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1033262183 NPPES
Idaho MEDICAID 0044033
Idaho Other 1002857
Idaho Other 1225235039
Idaho Other T2797
Idaho Other 322212

Popular Providers