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

COLUMBUS CANDIES, PT MPA/HA PH.D.

Active

COLUMBUS CANDIES, PT MPA/HA PH.D. is a Ergonomics (Occupational Therapy) healthcare provider located in FRUITLAND, Idaho. NPI 1366701948 is currently active in the NPPES registry. Verify at CMS.

Ergonomics (Occupational Therapy) · FRUITLAND, ID

Registration Details

NPI Number
1366701948
Provider Type
Individual
Gender
Male
NPI Issued
May 16, 2012 (14.262515494328 yrs)
Last Updated
Oct 9, 2018
Licenses
1304798 (TX)
PT-1689 (ID)

Practice Information

Address
1611 N WHITLEY DR STE 1A
FRUITLAND, ID, 836192180
Browse ID providers · Browse ZIP 83619
Phone
2084520021
Fax
2084520019
Primary Specialty
Ergonomics (Occupational Therapy)
2251X0800X
Additional Specialty
Physical Therapy Assistant

Other Ergonomics (Occupational Therapy) Providers in FRUITLAND, ID

Name Credential NPI
MCKENZIE PULSIPHER DPT 1386492056
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.