Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TUNDRA MCDOUGAL I
Active Sole ProprietorTUNDRA MCDOUGAL I is a Physical Therapy Clinic healthcare provider located in MERIDIAN, Idaho. NPI 1740678234 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Clinic · MERIDIAN, ID
Registration Details
- NPI Number
- 1740678234
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 6, 2015 (11.591722020011 yrs)
- Last Updated
- Jan 6, 2015
- License
-
1283 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
179 SW 5TH AVENUEMERIDIAN, ID, 83642Browse ID providers · Browse ZIP 83642
- Phone
- 2083678282
- Primary Specialty
-
Physical Therapy Clinic
261QP2000X
Other Physical Therapy Clinic Providers in MERIDIAN, ID
| Name | Credential | NPI |
|---|---|---|
| MIRANDA WILSON | DPT | 1639746092 |
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.