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

Annetta Wilson, PT

Individual provider Specialist · NPI 1891025482

Annetta Wilson, PT is a Specialist in Moscow, Idaho. Practices as a sole proprietor. Licensed in Idaho and Washington.

Licensed in
ID, WA
In the registry since
2010
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

640 N Eisenhower St
Moscow, ID 83843-9588
Phone: (208) 882-6560
Fax: (208) 882-6569
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence PT-00000493 (ID)
Specialist Taxonomy 174400000X · Licence PT-80 (WA)

Record details

NPI number1891025482
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedJanuary 5, 2010
Last updated in NPPESJanuary 5, 2010
Mailing address640 N Eisenhower St, Moscow, ID 83843-9588

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