person
Bryan D Huntsman, MS,PT
Specialist in Idaho Falls, Idaho
NPI 1851446561

Bryan D Huntsman is a Specialist based in Idaho Falls, ID. Bryan D Huntsman practices in Idaho Falls, ID and has the professional credentials of MS,PT. The NPI Number for Bryan D Huntsman is 1851446561 and holds a License No. PT-457 (Idaho).

The current practice location address for Bryan D Huntsman 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.

Location: 2570 Channing Way, Idaho Falls, ID, 83404-7515
person
Provider Profile Details
NPI Number
1851446561
Provider Name
Bryan D Huntsman
Credential
MS,PT
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
004401200 05 ID
000010025914 01 ID BLUE SHIELD OF IDAHO ID#
82-0510764 01 ID TAX ID#
T-144-3 01 ID BLUE CROSS 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-457 (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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