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Contact Information

DILLON G WRAY, PT, DPT, CERT. VRS
711 RIGBY LAKE DR STE 102
RIGBY, ID83442-5230
 Phone: 208-754-1210
 Fax: 208-754-1220
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for DILLON G WRAY · (Male)

NPI # 1588289839
Status Active
Credentials PT, DPT, CERT. VRS
Entity Individual
Enumeration date 06/12/2020
Last updated 08/22/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • ID License # PT-6800
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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