IndividualActive
Madeline Mccracken
NPI 1316702194 · Pediatric Physical Therapist · Boise, ID
Provider details
- NPI number
- 1316702194
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- PT-8960 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
101 S Allumbaugh Way
Boise, ID 83709-5658
Phone: (208) 323-8888
Fax: (208) 323-8889
Approximate (ZIP-level) locationGet directions
Mailing address
101 S Allumbaugh Way
Boise, ID 83709-5658
Registry dates
- Enumerated
- 2024-02-20
- Last updated
- 2024-02-20
- Certified
- 2024-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.