SearchIdahoPhysical Therapist

Michael Davis

NPI 1629582002 · on the registry since 2017

Practice

Address
2093 Irene Ln
Idaho Falls, ID 83404
Phone
(870) 759-0424

Registry record

Primary taxonomy
Physical Therapist
225100000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-11-21

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