Organization · Type 2 NPI

Primary Therapy Source LLC

Durable Medical Equipment & Medical Supplies · Twin Falls, ID

NPI number 1104672682 Active

Practice location

254 River Vista Pl
Twin Falls, ID 83301-3006

Call (208) 734-7333 Map

Fax (208) 734-8350

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies Primary 332B00000XNone listed
Customized Equipment (DME) 332BC3200XNone listed

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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About NPI 1104672682

Primary Therapy Source LLC's National Provider Identifier is 1104672682, issued on Apr 25, 2024. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Twin Falls, ID. The record was last updated on Apr 25, 2024.