Search › Idaho › 106H00000X
Matthew Dunham
NPI 1700159852 · on the registry since 2012 · sole proprietor
Practice
- Address
- 1120 Stocks Ave Ste 102
Rexburg, ID 83440 - Phone
- (801) 896-5345
- Fax
- (801) 896-5334
- Organisation at this address
- 208 Physical Therapy Llc
Upper Valley Options, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Additional practice sites
- 49 E 200 S, Clearfield, UT
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Also registered as
- 101Y00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-04-12
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