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

IDAHO STATE UNIVERSITY

Active Organization

IDAHO STATE UNIVERSITY is a Physical Therapy Assistant organization located in POCATELLO, Idaho. NPI 1356491187 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · POCATELLO, ID

Registration Details

NPI Number
1356491187
Provider Type
Organization
NPI Issued
Jan 12, 2007 (19.586120778616 yrs)
Last Updated
May 29, 2012

Practice Information

Address
1400 E. TERRY
GARRISON BLDG. 63 #202
POCATELLO, ID, 832098045
Browse ID providers · Browse ZIP 83209
Phone
2082822590
Fax
2082824962
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant
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.