License holder summary

ASA TYRELL GENTRY is a Physical Therapy Licensure Board - Physical Therapist Assistant licensed to practice in Idaho. The address on file for ASA TYRELL GENTRY is LEWISTON ID 83501. This licensed professional license is current. The license was granted 07/24/2012 and expired on 12/31/2016.

Idaho

Division of Occupational and Professional Licenses

ASA TYRELL GENTRY
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 3056
Date granted
07/24/2012
Date expires
12/31/2016
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
LEWISTON ID 83501
idaholicensing.com
ID 43734077
LAST UPDATED 2024-04-08 14:55:24 UTC

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