Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wild Rose Physio PLLC

Organization Physical Therapy Clinic/Center · NPI 1154162113

Wild Rose Physio PLLC is a Physical Therapy Clinic/Center in Moscow, Idaho. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

325 W Palouse River Dr
Moscow, ID 83843-8956
Phone: (208) 689-6044
Fax: (208) 242-4018
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X

Record details

NPI number1154162113
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lauren Jentges — Owner · (206) 948-7475
NPI enumeratedJune 4, 2024
Last updated in NPPESJune 4, 2024
Certification dateJune 4, 2024
Mailing addressPo Box 51, Troy, ID 83871-0051

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