Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANNETTA WILSON, P.T.
Active Sole ProprietorSpecialist · MOSCOW, ID
Registration Details
- NPI Number
- 1891025482
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 5, 2010 (16.322013487791 yrs)
- Last Updated
- Jan 5, 2010
- Licenses
-
PT-80 (WA)PT-00000493 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
640 N EISENHOWER STMOSCOW, ID, 838439588Browse ID providers · Browse ZIP 83843
- Phone
- 2088826560
- Fax
- 2088826569
- Primary Specialty
-
Specialist
174400000X
- Additional Specialty
- Specialist
Other Specialist Providers in MOSCOW, ID
| Name | Credential | NPI |
|---|---|---|
| DR. CHRISTINA LEIGH CERVIERI | MD | 1164427423 |
| DR. RICHARD ALLEN JACOBS | M.D. | 1457333668 |
| MRS. JANIE L JONES | MSPT | 1770818437 |
| DANIELLE MARIE WATSON | LMP | 1346689783 |
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.