Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROBERT GRANT BLACK, PT
ActiveROBERT GRANT BLACK, PT is a Physical Therapy Assistant healthcare provider located in POCATELLO, Idaho. NPI 1457499428 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · POCATELLO, ID
Registration Details
- NPI Number
- 1457499428
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 2, 2007 (19.486031137212 yrs)
- Last Updated
- Aug 20, 2008
- Licenses
-
3435682401 (UT)PT-1705 (ID)
Practice Information
- Address
-
285 VISTA DRIVESUITE APOCATELLO, ID, 83201Browse ID providers · Browse ZIP 83201
- Phone
- 2084781488
- Fax
- 2084781498
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Specialist
Other Physical Therapy Assistant Providers in POCATELLO, ID
| Name | Credential | NPI |
|---|---|---|
| RICHARD W LEMON | M.P.T. | 1487646733 |
| MRS. KIMBERLY W SCHWARZE | RPT | 1972566354 |
| MRS. JONI D VAUGHN POWELL | RPT | 1962465344 |
| MR. MICHAEL E OTTO | RPT | 1558324590 |
| DR. COREY LAYNE RASMUSSEN | DPT | 1578665329 |
| C RIC BENEDETTI | DPT | 1427147784 |
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.