Doctor Name: | MRS. HEIDI JANELLE ANTTONEN |
NPI Number: | 1538136163 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSPT |
License Number: | PT1733 |
Business Practice Address: | 50 E James Ct Suite A Meridian, ID - 83642 |
Business Phone Number: | 2088950715 |
Business Fax Number: | 2088950746 |
Mailing Address: | 50 E James Court, Suite A MERIDIAN |
State: | ID |
Postal Code: | 83642 |
Phone Number: | 2088950715 |
Fax Number: | 2088950746 |
NPI Enumeration Date: | 03/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT1733 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |