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Contact Information

BEAU DOBSON, PT, DPT, OCS, CSCS
109 13TH AVE S
NAMPA, ID83651-3904
 Phone: 209-995-6671
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy

261QP2000X
 

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for BEAU DOBSON · (Male)

NPI # 1245611276
Status Active
Credentials PT, DPT, OCS, CSCS
Entity Individual
Enumeration date 06/16/2015
Last updated 04/16/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # PT-4218
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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