Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SYDNEY JADE POORBAUGH, DPT
ActivePhysical Medicine & Rehabilitation · MOSCOW, ID
Registration Details
- NPI Number
- 1902535552
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 8, 2022 (3.9114288804603 yrs)
- Last Updated
- Jun 8, 2022
- License
-
PT-7109 (ID)
Practice Information
- Address
-
640 N EISENHOWER STMOSCOW, ID, 838439588Browse ID providers · Browse ZIP 83843
- Phone
- 2088826560
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
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.