Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AUTUMN GROVE
ActiveAUTUMN GROVE is a Physical Therapy Assistant healthcare provider located in HAYDEN, Idaho. NPI 1033596747 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · HAYDEN, ID
Registration Details
- NPI Number
- 1033596747
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 1, 2015 (11.242807313343 yrs)
- Last Updated
- Aug 1, 2024
- Licenses
-
PTL. 0013479 (CO)PT-5390 (ID)
Practice Information
- Address
-
8238 N GOVERNMENT WAYHAYDEN, ID, 838355034Browse ID providers · Browse ZIP 83835
- Phone
- 2087622100
- Fax
- 2087622101
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in HAYDEN, ID
| Name | Credential | NPI |
|---|---|---|
| ERICA LEA CHVILICEK | P.T. | 1053368126 |
| GARY DOUGLAS SCHNEIDER | P.T. | 1750321071 |
| JUSTIN THOMAS KANE | PT | 1114957073 |
| CLIFFORD KIRACOFE | RPT | 1427073212 |
| KAREN L LEE | MPT | 1093725780 |
| KEVIN JOHN SGROI | P.T. | 1770678484 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.