IndividualActive
Gwen Scott, P.T.A.
NPI 1245575216 · Physical Therapy Assistant · Boise, ID
Provider details
- NPI number
- 1245575216
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- P.T.A.
- Sex
- Female
- Sole proprietor
- No
- License
- PTA-2114 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
12325 W Caddy Ct
Boise, ID 83709-6561
Phone: (208) 477-7373
Approximate (ZIP-level) locationGet directions
Mailing address
12325 W Caddy Ct
Boise, ID 83709-6561
Registry dates
- Enumerated
- 2012-12-03
- Last updated
- 2012-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.