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General NPI Number Information
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NPI Number | 1366104994
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Entity Type | Individual
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Provider Name | ROSEMARY COLDSNOW PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 10/11/2021
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 670 E RIVERPARK LN STE 400
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City | BOISE
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State | ID
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Zip | 83706-6510
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Country | US
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Telephone | 208-807-2486
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Fax | 208-806-9698
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Provider Business Mailing Address
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Address Line | 670 E RIVERPARK LN STE 400
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City | BOISE
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State | ID
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Zip | 83706-6510
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Country | US
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Telephone | 208-596-3891
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 61149102
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT-8672
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License Number State | ID
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