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ANNETTA WILSON P.T.
NPI 1891025482
Specialist in Moscow, ID

Active since January 05, 2010
640 N EISENHOWER ST, MOSCOW, ID 83843(208) 882-6560(208) 882-6569 Get Directions Write a Review

NPPES record last updated: January 5, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Annetta Wilson P.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNETTA WILSON P.T. (NPI 1891025482) is an individual specialist in Moscow, Idaho, licensed in Idaho (PT-00000493) and active in the NPI registry since January 2010.

NPPES Registry Identity

NPI1891025482
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameANNETTA WILSONCredential: P.T.
Location Address640 N EISENHOWER STMoscow, ID 83843-9588
Mailing Address640 N Eisenhower StMoscow, ID 83843-9588 · (208) 882-6560 · Fax (208) 882-6569
Phone(208) 882-6560
Fax(208) 882-6569
Sole ProprietorYes
Enumeration DateJanuary 5, 2010
✔ NPI 1891025482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses✔ Licensed in ID · PT-00000493✔ Licensed in WA · PT-80
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
640 N EISENHOWER ST, Moscow, ID 83843
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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUBREY DIANE WEAVER OTA
Occupational Therapy Assistant
640 N EISENHOWER ST
MOSCOW, ID 83843
Latah County (208) 882-6560
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Assisted Living Facility
640 N EISENHOWER ST
MOSCOW, ID 83843
Latah County (208) 882-6560
MRS. FRANCES ANNE PRESTON OTR/L
Occupational Therapist
640 N EISENHOWER ST
MOSCOW, ID 83843
Latah County (208) 882-6560
TAMI LYNN DIAL MA
Speech-Language Pathologist
640 N EISENHOWER ST
MOSCOW, ID 83843
Latah County (208) 882-6560
NELSON JAMIR
Physical Therapy Assistant
640 N EISENHOWER ST
MOSCOW, ID 83843
Latah County (208) 882-6560
SANDEE SCHUMACHER MS CCC SLP
Speech-Language Pathologist
640 N EISENHOWER ST
MOSCOW, ID 83843
Latah County (208) 882-6560
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Skilled Nursing Facility
640 N EISENHOWER ST
MOSCOW, ID 83843
Latah County (208) 882-6560
MOSCOW OF OLYMPUS LLC
Assisted Living Facility
640 N EISENHOWER ST
MOSCOW, ID 83843
Latah County (208) 401-9600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Annetta Wilson's NPI number?

The NPI number for Annetta Wilson is 1891025482. It was assigned to this individual provider in the NPPES registry on January 5, 2010.

Where is Annetta Wilson located?

Annetta Wilson practices at 640 N Eisenhower St, Moscow, ID 83843. The listed phone number is (208) 882-6560.

What is Annetta Wilson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Annetta Wilson was last updated on January 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.