Dr. Jonah Nicholas Heyneman, PT, DPT
Physical Therapist in Pocatello, ID. Individual provider (NPI-1).
NPI number1164040655
StatusActive
Last updated in NPPESJul 10, 2020
Details
- NPI
- 1164040655
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jonah Nicholas Heyneman
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 10, 2020
- Certification date
- Jul 10, 2020
- Last updated
- Jul 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 6967 | ID | Yes |
| 225100000X | Physical Therapist | – | – |
Practice location
675 Yellowstone Ave # 1Pocatello, ID 83201-4511
Phone 208-478-1488
Mailing address
486 Pheasant Ridge Dr Apt BChubbuck, ID 83202-1689
Phone 208-852-6538
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All 118 Physical Therapist providers in Pocatello · All 2,770 providers in Pocatello
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