Individual provider · Type 1 NPI

Annetta Wilson, P.T.

Specialist · Moscow, ID

NPI number 1891025482 Active

Practice location

640 N Eisenhower St
Moscow, ID 83843-9588

Call (208) 882-6560 Map

Fax (208) 882-6569

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000XPT-80 (WA)
Specialist Primary 174400000XPT-00000493 (ID)

Specialist: 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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About NPI 1891025482

Annetta Wilson, P.T.'s National Provider Identifier is 1891025482, issued on Jan 5, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Moscow, ID. The record was last updated on Jan 5, 2010.