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Jacob Lame, PTA
NPI 1588937130 · on the registry since 2012
Practice
- Address
- 909 Reserve St.
Boise, ID 83712 - Phone
- (208) 343-7717
- Fax
- (208) 336-4629
- Organisation at this address
- Marquis Companies I, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
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
- 2012-02-13
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