IndividualActive
Anthony Botos, LPTA
NPI 1053868430 · Physical Therapy Assistant · Boise, ID
Provider details
- NPI number
- 1053868430
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LPTA
- Sex
- Male
- Sole proprietor
- No
- License
- PTA-363 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
190 E Bannock St
Boise, ID 83712-6241
Phone: (208) 381-1553
Approximate (ZIP-level) locationGet directions
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Registry dates
- Enumerated
- 2016-09-02
- Last updated
- 2016-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.