SearchIdaho225100000X

Jonathan Norman, DPT

NPI 1205403391 · on the registry since 2021 · sole proprietor

Practice

Address
5850 N Five Mile Rd
Boise, ID 83713
Phone
(208) 960-7274
Fax
(208) 318-1080
Organisation at this address
Bonaventure Place Retirement & Assisted Living Community
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-09-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho