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BLAINE HAWKES
Physical Therapist
NPI: 1700135340IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physical TherapistPrimary
Physical Therapist
Code: 225100000X
8394301-8016(UT)
CMS Specialties
PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE
Education
OTHER
Class of 2012
Contact & Hours
- Address
- 50 S HIGHWAY 93
SHOSHONE, ID 83352 - Phone
- (801) 942-3311
Quick Facts
- NPI
- 1700135340
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 14
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