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Jesse Newman, PTA
NPI 1467914036 · on the registry since 2019 · sole proprietor
Practice
- Address
- 5909 W State St
Boise, ID 83703 - Phone
- (208) 343-7700
- Fax
- (208) 331-2591
- Organisation at this address
- Physical Therapy 180 Llc
Peregrine Physical Therapy LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
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
- 2023-11-27
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