License holder summary

LYDIA MARIE GREENWALT is a Physical Therapy Licensure Board - Physical Therapist licensed to practice in Idaho. The address on file for LYDIA MARIE GREENWALT is BOISE ID 83709. This licensed professional license is current. The license was granted 02/02/2012 and expired on 06/21/2017.

Idaho

Division of Occupational and Professional Licenses

LYDIA MARIE GREENWALT
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 2975
Date granted
02/02/2012
Date expires
06/21/2017
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
BOISE ID 83709
idaholicensing.com
ID 43731372
LAST UPDATED 2026-06-06 19:13:42 UTC

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