Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK VINCENT I SORIANO MENDOZA, DPT
Active Sole ProprietorMARK VINCENT I SORIANO MENDOZA, DPT is a Physical Therapy Assistant healthcare provider located in CHUBBUCK, Idaho. NPI 1124831714 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · CHUBBUCK, ID
Registration Details
- NPI Number
- 1124831714
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 29, 2025 (1.5231100439998 yrs)
- Last Updated
- Jan 29, 2025
- License
-
PT3640 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
763 BOYD STCHUBBUCK, ID, 832022941Browse ID providers · Browse ZIP 83202
- Phone
- 2084179605
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in CHUBBUCK, ID
| Name | Credential | NPI |
|---|---|---|
| DERRICK NORTHRUP | P.T. | 1124196340 |
| DR. TIMOTHY ANDREW FLICKER | MPT, DPT, CSCS | 1215088059 |
| BRENT E DOBSON | PT | 1871756742 |
| DR. GRACE ELAINE JORY | PT, DPT | 1881824902 |
| JARED L MCKEE | DPT | 1649401407 |
| DEREK J SCHELSKE | PT | 1336438894 |
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.