SearchIdaho225100000X

John Weatherly, R.P.T

NPI 1700910049 · on the registry since 2007

Practice

Address
850 Lincoln Dr
Idaho Falls, ID 83401
Phone
(208) 569-4266

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-09

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