ANNETTA WILSON (P.T.) – Specialist, NPI 1891025482

ANNETTA WILSON (P.T.) is a healthcare provider. based in Moscow, Idaho. specializing in Specialist. They hold the professional credentials P.T.. They hold a License No. PT-80 (WA). The NPI Number for ANNETTA WILSON (P.T.) is 1891025482

Main info

Female
Sole Proprietor
Name
ANNETTA WILSON (P.T.)
NPI
1891025482
Phone
(208) 882-6560
Address
640 N EISENHOWER ST
Enumeration Date
5 January 2010
Last Update Date
5 January 2010
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:16State licenses:2Digital endpointsOther names

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Provider Addresses for ANNETTA WILSON (P.T.)

  • 640, Eisenhower Street, Moscow, Latah County, Idaho, 83843, United States

    MOSCOW, ID 838439588

    Phone: (208) 882-6560

    Fax: (208) 882-6569

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83843)

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Reviews

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Frequently asked questions

Where can patients find ANNETTA WILSON (P.T.)'s NPI?
You can confirm ANNETTA WILSON (P.T.) with NPI 1891025482; it appears in the national provider directory.
Does this profile mean ANNETTA WILSON (P.T.) is currently active?
Yes — ANNETTA WILSON (P.T.) appears active in the national provider directory.
What does ANNETTA WILSON (P.T.) treat or focus on?
Patients typically see ANNETTA WILSON (P.T.) under the specialty Other Service Providers. Clinical services aligned with this taxonomy classification.
What location metadata exists for ANNETTA WILSON (P.T.)?
The page summarizes Moscow, Idaho for ANNETTA WILSON (P.T.); expand the address list for detail.
Is ANNETTA WILSON (P.T.) a real provider?
This page reflects official NPPES data for NPI 1891025482. Always confirm identity and privileges with the practice and licensing boards.

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