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Jeffrey Davenport, PT
NPI 1568618254 · on the registry since 2008
Practice
- Address
- 275 S 5th Ave Ste 140
Pocatello, ID 83201 - Phone
- (208) 232-4267
- Fax
- (208) 232-4268
- Organisation at this address
- Caddis Fly Counseling
Center For Orthopedic RehabilitationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Physical Therapist
225100000X
- Also registered as
- Physical Therapist
- Licence states on file
- NV, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-02-11
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