Provider
ADVANCED WOUND THERAPY IDAHO PLLC
Public NPPES listing with taxonomy: Family Medicine.
Resource details
Medicare status: Confirm directly
Unknown from NPPES
Source: NPPES NPI Registry
NPI: 1619863404
Taxonomy: Family Medicine (207Q00000X)
Source confidence: 58%
Medicare assignment: Unknown from NPPES
Address: 1224 N IDAHO ST STE 9, POST FALLS, ID, 838549024
Phone: 918-592-0920
Last verified: May 15, 2026