IndividualActive
Caroline Bush, PTA
NPI 1730756917 · Physical Therapy Assistant · Boise, ID
Provider details
- NPI number
- 1730756917
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- PTA-7147 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
960 S Broadway Ave
Boise, ID 83706-3600
Phone: (208) 433-9211
Approximate (ZIP-level) locationGet directions
Mailing address
6243 S Wayland Way
Meridian, ID 83642-5711
Registry dates
- Enumerated
- 2021-06-07
- Last updated
- 2021-06-07
- Certified
- 2021-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.