HALLIE DAVIS, Recreation Therapist BOISE, ID

Contact Information

HALLIE DAVIS

608 N ROSS ST
BOISE, ID 83702-3816

Phone: 865-201-7272
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Recreation Therapist	225800000X

Indicates primary specialty

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NPI Profile & details for HALLIE DAVIS · (Female)

NPI #	`1487433579`
Status	Active
Credentials
Entity	Individual
Enumeration date	09/27/2023
Last updated	09/27/2023 - About 3 years ago
Sole proprietor ¹	No
Identifiers	TN License # 84116
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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