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Contact Information

JUSTIN R BRUNNER, DPT
164 S 5TH ST
MONTPELIER, ID83254-1597
 Phone: 208-847-4417
 Fax: 208-847-4431
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JUSTIN R BRUNNER · (Male)

NPI # 1225883192
Status Active
Credentials DPT (Doctorate of Physical Therapy)
Entity Individual
Enumeration date 04/23/2024
Last updated 04/23/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • ID License # PT-4508
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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