SearchIdaho225100000X

Riley Waldeck, DPT

NPI 1861173247 · on the registry since 2023

Practice

Address
3157 E Barber Valley Dr Ste 120
Boise, ID 83716
Phone
(208) 901-8477
Fax
(208) 629-7529

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
2023-07-27

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