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

BIRDEE LYNNE DAVIS, PTA

Active Sole Proprietor

BIRDEE LYNNE DAVIS, PTA is a Community Health Worker healthcare provider located in POCATELLO, Idaho. NPI 1447708177 is currently active in the NPPES registry. Verify at CMS.

Community Health Worker · POCATELLO, ID

Registration Details

NPI Number
1447708177
Provider Type
Individual
Gender
Female
NPI Issued
Sep 11, 2016 (9.8794771086226 yrs)
Last Updated
Sep 11, 2016
License
PTA-2547 (ID)
Sole Proprietor
Yes

Practice Information

Address
715 CHERRY ST
POCATELLO, ID, 832015646
Browse ID providers · Browse ZIP 83201
Phone
2087054999
Primary Specialty
Community Health Worker
172V00000X

Other Community Health Worker Providers in POCATELLO, ID

Name Credential NPI
LINDSEY ELIZABETH SWANK 1215891700
RALPH L DANIELS 1417813577
NATALIE ANDERSON 1144186206
JENNIFER ANN JONES-ELIZARRARAS 1871459933
MADELINE AMY LLOYD 1780540849
LUCAS DENNIS JAMES TIERNEY 1407712565
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.