Most Relevant Information
Provider Data
| NPI Number: | 1003290693 |
| Provider Name: | JESSE BROUWER PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT-4056 |
Most Important Dates
| Enumeration Date: | 07/14/2015 |
| Last Updated: | 07/14/2015 |
Provider Practice Location
104 W 9TH AVE
POST FALLS
ID
838549216
Practice Location Phone/Fax
| Phone: | 2087779740 |
| Fax: | 2087778316 |
Provider Mailing Location
PO BOX 3482
POST FALLS
ID
838773482
Provider Mailing Phone/Fax
| Phone: | 2082096170 |
| Fax: | 2082096169 |