Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LON MIGUEL EGBERT, PT, ATC
ActiveLON MIGUEL EGBERT, PT, ATC is a Physical Therapy Assistant healthcare provider located in JEROME, Idaho. NPI 1437130952 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · JEROME, ID
Registration Details
- NPI Number
- 1437130952
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 10, 2005 (20.574984434345 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PT1686 (ID)
Practice Information
- Address
-
128 5TH AVE WJEROME, ID, 833381863Browse ID providers · Browse ZIP 83338
- Phone
- 2083243090
- Fax
- 2083243093
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in JEROME, ID
| Name | Credential | NPI |
|---|---|---|
| DR. DARYL DEAN MAYES | P.T., D.P.T., M.H.S. | 1033262183 |
| MS. DONNA STARODOJ ALFS | PT | 1245564004 |
| CLINTON AXMAN | PT | 1982986923 |
| AUSTIN COBBLEY | DPT | 1760103469 |
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.