person
Lynn H Woodland, MSPT
Specialist in Idaho Falls, Idaho
NPI 1679628457

Lynn H Woodland is a Specialist based in Idaho Falls, ID. Lynn H Woodland practices in Idaho Falls, ID and has the professional credentials of MSPT. The NPI Number for Lynn H Woodland is 1679628457 and holds a License No. PT-292 (Idaho).

The current practice location address for Lynn H Woodland is 2570 Channing Way, Idaho Falls, ID and can be reached out via phone at 208-529-8005 and via fax at 208-529-0251. You can also correspond with Lynn H Woodland through the mailing address at 2570 CHANNING WAY, IDAHO FALLS, ID - 83404-7515 (mailing address contact number: 208-529-8005).

Location: 2570 Channing Way, Idaho Falls, ID, 83404-7515
person
Provider Profile Details
NPI Number
1679628457
Provider Name
Lynn H Woodland
Credential
MSPT
Provider Entity Type
Individual
Gender
Male
Address
2570 Channing Way, Idaho Falls, ID, 83404-7515
Phone Number
208-529-8005
Fax Number
208-529-0251
Provider Enumeration Date
01/24/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
82-0510764 01 ID TAX ID#
T-143-5 01 ID BLUE CROSS OF IDAHO ID#
004407700 05 ID
000010025913 01 ID BLUE SHIELD OF IDAHO ID#
institution
Provider Business Practice Location Address Details
Address
2570 Channing Way
City
State
Zip
83404-7515
Phone Number
208-529-8005
Fax Number
208-529-0251
person
Provider Business Mailing Address Details
Address
2570 Channing Way
City
State
Zip
83404-7515
Phone Number
208-529-8005
Fax Number
208-529-0251
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
PT-292 (Idaho)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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