SearchIdahoPhysical Therapy Assistant

Breanna Kump, PTA-288

NPI 1982976767 · on the registry since 2012 · sole proprietor

Practice

Address
993 Grassland Dr
Idaho Falls, ID 83404
Phone
(208) 406-1129

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-02-08

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