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NICKALUS SHANE DAVIS
PHYSICAL THERAPIST IN PRIVATE PRACTICE · BOISE, ID
Provider
- NPI
1336615749- Credential
- —
- Primary specialty
- PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Gender
- Male
- Medical school
- OTHER
- Graduation year
- 2018
Practice
- Address
- 1010 S ALLANTE PL, BOISE, ID 837091660
- Phone
- 2088673861
- Accepts Medicare
- Yes (individual)
- Telehealth
- No
Source
- Authoritative
- NPI Registry
- Machine
- JSON-LD · Markdown