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David Andersen, R.P.T., L.A.T, A.T.C

NPI 1265657001 · on the registry since 2007 · sole proprietor

Practice

Address
363 Tyra Dr
Idaho Falls, ID 83401
Phone
(208) 681-2525

Registry record

Primary taxonomy
225100000X
225100000X
Also registered as
2255A2300X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-09-11

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