Provider Demographics
NPI:1619796661
Name:TREASURE VALLEY RETURN TO WORK LLC
Entity type:Organization
Organization Name:TREASURE VALLEY RETURN TO WORK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-609-6600
Mailing Address - Street 1:3080 E GENTRY WAY STE 180
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83642-3014
Mailing Address - Country:US
Mailing Address - Phone:208-609-6600
Mailing Address - Fax:208-973-0180
Practice Address - Street 1:3080 E GENTRY WAY STE 180
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83642-3014
Practice Address - Country:US
Practice Address - Phone:208-609-6600
Practice Address - Fax:208-973-0180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty