SearchIdahoPhysical Therapy Assistant

Jesse Newman, PTA

NPI 1467914036 · on the registry since 2019 · sole proprietor

Practice

Address
5909 W State St
Boise, ID 83703
Phone
(208) 343-7700
Fax
(208) 331-2591
Organisation at this address
Physical Therapy 180 Llc
Peregrine Physical Therapy Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-11-27

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