DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JONAH NICHOLAS HEYNEMAN, PT, DPT

Active Sole Proprietor

DR. JONAH NICHOLAS HEYNEMAN, PT, DPT is a Physical Therapy Assistant healthcare provider located in POCATELLO, Idaho. NPI 1164040655 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · POCATELLO, ID

Registration Details

NPI Number
1164040655
Provider Type
Individual
Gender
Male
NPI Issued
Jul 10, 2020 (6.0515116123815 yrs)
Last Updated
Jul 10, 2020
License
6967 (ID)
Sole Proprietor
Yes

Practice Information

Address
675 YELLOWSTONE AVE # 1
POCATELLO, ID, 832014511
Browse ID providers · Browse ZIP 83201
Phone
2084781488
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in POCATELLO, ID

Name Credential NPI
RICHARD W LEMON M.P.T. 1487646733
MRS. KIMBERLY W SCHWARZE RPT 1972566354
MRS. JONI D VAUGHN POWELL RPT 1962465344
MR. MICHAEL E OTTO RPT 1558324590
DR. COREY LAYNE RASMUSSEN DPT 1578665329
C RIC BENEDETTI DPT 1427147784
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.