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

AMMON BENJAMIN BIRK, DPT

Active Sole Proprietor

Physical Therapy Assistant · KIMBERLY, ID

Registration Details

NPI Number
1851889182
Provider Type
Individual
Gender
Male
NPI Issued
Apr 23, 2018 (8.016004206122 yrs)
Last Updated
Jun 23, 2018
License
PT-4245 (ID)
Sole Proprietor
Yes

Practice Information

Address
940 BALLARD WAY
KIMBERLY, ID, 83341
Browse ID providers · Browse ZIP 83341
Phone
8018740479
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in KIMBERLY, ID

Name Credential NPI
REAGAN RONALD WARD DPT 1114374741
DR. TREVOR JOHN BAKER PT, DPT, GCS 1912496753
MICHELLE M SMITH DPT, PT 1083305296
ASHLYN MARIE ZOON DPT 1497529333
DANIEL STARK RUSSON DPT, PT 1962242669
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.