Most Relevant Information
Provider Data
| NPI Number: | 1003246778 |
| Provider Name: | MELISSA PIRTLE PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT-1995 |
Most Important Dates
| Enumeration Date: | 11/18/2013 |
| Last Updated: | 11/18/2013 |
Provider Practice Location
703 S AMERICANA BLVD
SUITE 130
BOISE
ID
837025099
Practice Location Phone/Fax
| Phone: | 2087067530 |
| Fax: | 2087067531 |
Provider Mailing Location
703 S AMERICANA BLVD
SUITE 130
BOISE
ID
837025099
Provider Mailing Phone/Fax
| Phone: | 2087067530 |
| Fax: | 2087067531 |