Wayne, Raymond

Wayne, Raymond is an sole proprietor health care provider with primary practice located at 3054 Sandstone Dr , Idaho Falls ID 83404-6824. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Wayne, Raymond can be contacted via phone (208) 522-0838.

Contact Information

Primary practice address
3054 Sandstone Dr Idaho Falls ID 83404-6824
Phone: (208) 522-0838
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA-2712 Idaho

Profile Details

NPI number 1386013373
LBN Legal business name Wayne, Raymond
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2015
Last updated Sep 19th, 2015 - about 10 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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