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NPI Code Detail

MEDICARE: TRISHA ROWEEN LIM

MEDICARE:   TRISHA ROWEEN  LIM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1922952019
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRISHA ROWEEN LIM
Provider Business Mailing Address
First Line : 1350 N WEBB WAY APT O303
Second Line :
City : MERIDIAN
State : ID
Zip : 83642-1188
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 600 N ROBBINS RD
Second Line :
City : BOISE
State : ID
Zip : 83702-4539
Country : US
Telephone Number : 208-489-4444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2026
Last Update Date : 02/24/2026

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Directions to “ TRISHA ROWEEN LIM ” Practice Location

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