Doctor Name: | MR. SCOTT R BLOXHAM |
NPI Number: | 1962488205 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | RPT-085 |
Business Practice Address: | 1224 8th St Ste A Rupert, ID - 833501527 |
Business Phone Number: | 2084369016 |
Business Fax Number: | 2084364922 |
Mailing Address: | 545 Cedar Dr, BURLEY |
State: | ID |
Postal Code: | 833182821 |
Phone Number: | 2088789274 |
Fax Number: | 2084364922 |
NPI Enumeration Date: | 12/19/2005 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | RPT-085 |
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 |