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

PROACTIVE PHYSICAL THERAPY PC

Active Organization

PROACTIVE PHYSICAL THERAPY PC is a Physical Therapy Assistant organization located in BURLEY, Idaho. NPI 1609093434 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · BURLEY, ID

Registration Details

NPI Number
1609093434
Provider Type
Organization
NPI Issued
Apr 20, 2007 (19.331079914655 yrs)
Last Updated
Oct 13, 2010
License
PT1299 (ID)

Practice Information

Address
2311 PARK AVE
SUITE 2
BURLEY, ID, 833182170
Browse ID providers · Browse ZIP 83318
Phone
2086772489
Fax
2086774023
Primary Specialty
Physical Therapy Assistant
225100000X
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.