Idaho
Division of Occupational and Professional Licenses
MR. JAKE RUSSELL MUNNS
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 4576
Date granted
05/25/2016
Date expires
11/17/2017
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
POCATELLO ID 83201
idaholicensing.com
ID 43734461
LAST UPDATED 2024-04-13 11:28:34 UTC
LAST UPDATED 2024-04-13 11:28:34 UTC
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