IndividualActive
Jade Glenn
NPI 1831931302 · Physical Therapy Assistant · Boise, ID
Provider details
- NPI number
- 1831931302
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 9081 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
10790 W Overland Rd
Boise, ID 83709-1329
Phone: (208) 467-7889
Approximate (ZIP-level) locationGet directions
Mailing address
10790 W Overland Rd
Boise, ID 83709-1329
Registry dates
- Enumerated
- 2024-06-06
- Last updated
- 2024-06-06
- Certified
- 2024-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.