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Raymond Wayne, PTA
NPI 1386013373 · on the registry since 2015 · sole proprietor
Practice
- Address
- 3054 Sandstone Dr
Idaho Falls, ID 83404 - Phone
- (208) 522-0838
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-09-19
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