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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RUSTY M WOOD, MPT

Active Sole Proprietor

RUSTY M WOOD, MPT is a Physical Therapy Assistant healthcare provider located in KELLOGG, Idaho. NPI 1295034684 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · KELLOGG, ID

Registration Details

NPI Number
1295034684
Provider Type
Individual
Gender
Male
NPI Issued
Mar 24, 2011 (15.363923813369 yrs)
Last Updated
Mar 24, 2011
License
1460 (ID)
Sole Proprietor
Yes

Practice Information

Address
704 MCKINLEY AVENUE
KELLOGG, ID, 83837
Browse ID providers · Browse ZIP 83837
Phone
2087833015
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in KELLOGG, ID

Name Credential NPI
CORY I LEWIS DPT 1467496323
LISA JOANN DARST MPT 1932366325
SHERI L. ZUMSTEIN 1790945459
TARA MARIE LODI 1164901294
KELLI JEAN KENSER DPT 1548075443
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.