Doctor Name: | BRYAN D WRIGHT |
NPI Number: | 1265525315 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | RPT-1976 |
Business Practice Address: | 1444 Falls Ave E Twin Falls, ID - 833013408 |
Business Phone Number: | 2087362574 |
Business Fax Number: | 2087362594 |
Mailing Address: | 1444 Falls Ave E, TWIN FALLS |
State: | ID |
Postal Code: | 833013408 |
Phone Number: | 2087362574 |
Fax Number: | 2087362594 |
NPI Enumeration Date: | 10/02/2006 |
NPI Last Update Date: | 01/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | RPT-1976 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ID |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |