SearchIdaho101YM0800X

James Gray, LMSW

NPI 1649567959 · on the registry since 2011 · sole proprietor

Practice

Address
621 Main St
Ste. G
Lewiston, ID 83501
Phone
(208) 750-3000
Fax
(208) 750-1244
Organisation at this address
Performance Physio Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-07-07

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