Craig Godfrey, DPT
Physical Therapist in Pocatello, ID. Individual provider (NPI-1).
NPI number1457083370
StatusActive
Last updated in NPPESSep 23, 2024
Details
- NPI
- 1457083370
- Entity type
- Individual (NPI-1)
- Name
- Craig Godfrey
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 29, 2022
- Certification date
- Sep 23, 2024
- Last updated
- Sep 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT-5204 | ID | Yes |
Practice location
1001 N 7th Ave Ste 280Pocatello, ID 83201-5788
Phone 208-239-1490
Mailing address
1001 N 7th Ave Ste 205Pocatello, ID 83201-5761
Phone 208-239-1490
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All 118 Physical Therapist providers in Pocatello · All 2,770 providers in Pocatello
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