Most Relevant Information
Provider Data
| NPI Number: | 1003173360 |
| Provider Name: | NATHAN IRA ALLEN P.T. |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT 2980 |
Most Important Dates
| Enumeration Date: | 04/11/2012 |
| Last Updated: | 01/23/2013 |
Provider Practice Location
2635 CALDWELL BLVD
STE. B
NAMPA
ID
836516407
Practice Location Phone/Fax
| Phone: | 2084420577 |
| Fax: | 2084427455 |
Provider Mailing Location
16083 SW UPPER BOONES FERRY RD
SUITE 300
TIGARD
OR
972247736
Provider Mailing Phone/Fax
| Phone: | 8002198835 |
| Fax: | 5036399699 |