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Contact Information

JAYLAN I HIBBARD, DPT
4776 N FIVE MILE RD STE 101
BOISE, ID83713-2715
 Phone: 208-658-9500
 Fax: 208-658-9501
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JAYLAN I HIBBARD · (Male)

NPI Number 1497439095
Status Active
Credentials DPT (Doctorate of Physical Therapy)
Entity Individual
Enumeration date 06/14/2023
Last updated 06/15/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • ID License # 8544
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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