Search › Idaho › 261QP2000X
Miranda Wilson, DPT
NPI 1639746092 · on the registry since 2021 · sole proprietor
Practice
- Address
- 2316 S Eagle Rd
Meridian, ID 83642 - Phone
- (208) 286-2707
- Organisation at this address
- Idaho Spine And Sports Physical Therapy - Silverstone
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 600 N Robbins Rd, Boise, ID
Registry record
- Primary taxonomy
- 261QP2000X
261QP2000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-06-04
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