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

IDAHO PEDIATRIC THERAPY CLINIC PLLC

Active Organization

IDAHO PEDIATRIC THERAPY CLINIC PLLC is a Physical Therapy Assistant organization located in MERIDIAN, Idaho. NPI 1194125617 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · MERIDIAN, ID

Registration Details

NPI Number
1194125617
Provider Type
Organization
NPI Issued
Sep 3, 2014 (11.969902198655 yrs)
Last Updated
Jul 9, 2019
Licenses
OT-928 (ID)
SLP-2249 (ID)
PT-1450 (ID)

Practice Information

Address
3080 E GENTRY WAY STE 180
MERIDIAN, ID, 836423544
Browse ID providers · Browse ZIP 83642
Phone
2089393334
Fax
2089391122
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Organizations in MERIDIAN, ID

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.