Idaho
Division of Occupational and Professional Licenses
NATHANIEL STEVEN VIS
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 3063
Date granted
11/09/2012
Date expires
12/11/2014
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Not Current
Address
NAMPA ID 83651
idaholicensing.com
ID 43734771
LAST UPDATED 2026-05-06 12:37:26 UTC
LAST UPDATED 2026-05-06 12:37:26 UTC
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