SearchIdaho225100000X

Ian Clint Idayan, PT

NPI 1659829869 · on the registry since 2016 · sole proprietor

Practice

Address
2105 12th Ave Rd
Nampa, ID 83686
Phone
(208) 467-5721
Organisation at this address
Canyon County Of Cascadia, Llc
Trinity Mission Health & Rehab Of Holly, Lp
Holly Lane Rehabilitation And Healthcare Center, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-09-16

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