Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
REAGAN E FERNLEY, PTA
ActiveREAGAN E FERNLEY, PTA is a Sports Medicine (PM&R) healthcare provider located in HOMEDALE, Idaho. NPI 1881459543 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · HOMEDALE, ID
Registration Details
- NPI Number
- 1881459543
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 20, 2024 (2.4354168955892 yrs)
- Last Updated
- Feb 20, 2024
- License
-
8554 (ID)
Practice Information
- Address
-
134 E IDAHO AVEHOMEDALE, ID, 836285003Browse ID providers · Browse ZIP 83628
- Phone
- 2083373254
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
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.