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Jeannie Mattox, PTA
NPI 1205503539 · on the registry since 2021
Practice
- Address
- 1100 A Street
Plummer, ID 83851 - Phone
- (208) 686-7041
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-08-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho