Search › Idaho › 225100000X
Miranda Ballard, PT, DPT
NPI 1568711893 · on the registry since 2012
Practice
- Address
- 179 Sw 5th Avenue
Meridian, ID 83642 - Phone
- (208) 367-8282
- Fax
- (208) 367-8288
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-06-04
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