Basic Information
| Provider Information | |||||||||
| NPI: | 1316092281 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MCFARLAND-SMITH | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | ANDREW | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | M.S.P.T. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 554 STEELHEAD WAY | ||||||||
| Address2: | SUITE 162 | ||||||||
| City: | BOISE | ||||||||
| State: | ID | ||||||||
| PostalCode: | 837048391 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2083239747 | ||||||||
| FaxNumber: | 2083239752 | ||||||||
| Practice Location | |||||||||
| Address1: | 554 STEELHEAD WAY | ||||||||
| Address2: | SUITE 162 | ||||||||
| City: | BOISE | ||||||||
| State: | ID | ||||||||
| PostalCode: | 837048391 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2083239747 | ||||||||
| FaxNumber: | 2083239752 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/23/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT-1390 | ID | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.