SearchIdaho261QP2000X

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