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Search › Idaho › Physical Therapy Assistant

Travis Pool

NPI 1609272012 · on the registry since 2014

Practice

Address
210 W Lacrosse Ave
Coeur D Alene, ID 83814
Phone
(208) 664-2185
Organisation at this address
Silver Ridge Care, Llc
Mason Park Healthcare, Inc.
Fmg West Lacrosse Avenue Idaho Llc
Lacrosse Health- Coeur D'Alene, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
28

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
2014-11-12

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