Jesse Brouwer
Physical Therapist
104 W 9th Ave
Post Falls
, Idaho 83854-9216
Jesse Brouwer
Physical Therapist
104 W 9th Ave
Post Falls
, Idaho 83854-9216
(208) 209-6169
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About
Features
Specialties
- Physical Therapist
Languages spoken
- English
Location
First Address
- Jesse Brouwer
- Po Box 3482
- Post Falls, ID
- Zip : 83877-3482
- Fax : (208) 209-6169
- Phone : (208) 209-6170
Second Address
- Jesse Brouwer
- 104 W 9th Ave
- Post Falls, ID
- Zip : 83854-9216
- Fax : (208) 777-8316
- Phone : (208) 777-9740
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT-4056 | ID |
National Provider Identifier
| NPI | 1003290693 |
|---|---|
| Provider Name | Jesse Brouwer |
| First Address | Post Falls, ID 83877-3482 |
| Second Address | Post Falls, ID 83854-9216 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/07/2015 |
| Last Update Date | 14/07/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.