Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIRANDA WILSON, DPT
Active Sole ProprietorMIRANDA WILSON, DPT is a Physical Therapy Clinic healthcare provider located in MERIDIAN, Idaho. NPI 1639746092 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Clinic · MERIDIAN, ID
Registration Details
- NPI Number
- 1639746092
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 4, 2021 (5.1827270437839 yrs)
- Last Updated
- Jun 4, 2021
- License
-
7420 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2316 S EAGLE RDMERIDIAN, ID, 836422665Browse ID providers · Browse ZIP 83642
- Phone
- 2082862707
- Primary Specialty
-
Physical Therapy Clinic
261QP2000X
Other Physical Therapy Clinic Providers in MERIDIAN, ID
| Name | Credential | NPI |
|---|---|---|
| TUNDRA MCDOUGAL I | — | 1740678234 |
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.