Wood, Rusty M

Wood, Rusty M is an sole proprietor health care provider with primary practice located at 704 Mckinley Avenue , Kellogg ID 83837. 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. Wood, Rusty M can be contacted via phone (208) 783-3015.

Contact Information

Primary practice address
704 Mckinley Avenue Kellogg ID 83837
Phone: (208) 783-3015
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1460 Idaho

Profile Details

NPI number 1295034684
LBN Legal business name Wood, Rusty M
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2011
Last updated Mar 24th, 2011 - about 15 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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